Prognosis for Bell's palsy: a comparison of diabetic and nondiabetic patients

Abstract

There were no differences in the HB system between the DG and NDG at the start of treatment and at 1 month after onset. However, facial movement in the DG was poorer than that in the NDG at 3 months and 6 months after onset. In terms of the recovery rate, the rate in the DG (52.6%) was much lower than that in the NDG (82.5%) at 6 months after onset.

Do diabetic patients with Bell's palsy benefit from corticosteroids?

“…These results were different from the previous studies that showed a beneficial effect of corticosteroids on prognosis in diabetic patients with BP. [14][15][16][17] The discrepancy between our study and the previous studies was possibly due to differences in the study design. In the studies of Kanazawa et al [14] and Akkuzu et al, [15] the comparison was performed between diabetic and non-diabetic BP patients, whereas Riga et al [16] reported the results of steroid therapy for BP within the group of patients who had DM, hypertension, and hyperlipidemia in their study.…”

“…[14][15][16][17] The discrepancy between our study and the previous studies was possibly due to differences in the study design. In the studies of Kanazawa et al [14] and Akkuzu et al, [15] the comparison was performed between diabetic and non-diabetic BP patients, whereas Riga et al [16] reported the results of steroid therapy for BP within the group of patients who had DM, hypertension, and hyperlipidemia in their study. Saito et al [17] had a high cure rate in diabetic patients with the administration of a higher dose steroid regimen than our study.…”

“…[14][15][16][17] In the study of Kanazawa et al, [14] which involved 19 diabetics and 57 non-diabetic BP patients treated with corticosteroids, the facial movement was found to be significantly poorer in the diabetic group than the non-diabetic group at three and six months after the onset of paralysis. They also showed that the recovery rate in the diabetic group was much lower than that in the nondiabetic group.…”

“…However, studies investigating the relationship between BP and DM regarding incidence, disease severity and prognosis demonstrated conflicting results in the literature. [14][15][16][17][18] Although corticosteroids have a well-known adverse effect on blood sugar levels, regulation of blood sugar can be ensured with the administration of adequate insulin and close monitoring of blood sugar during steroid therapy. [15] In the present study, we aimed to evaluate the beneficial effect of steroid therapy in the treatment of diabetic patients with BP.…”

Bell Paralizisi: Bir Olgu Sunumu ve Gözden Geçirme

“…High-dose steroids (>120 mg/day of prednisone) have been safely used to treat Bell palsy in patients with diabetes. [23] However, optimal dosing has not been established. Caution should be used in these cases because of the risk of hyperglycemia.…”