A 23-year-old presents with unilateral facial weakness including inability to close the eye, no forehead sparing, onset 24 hours ago. Best initial man...

Question

A 23-year-old presents with unilateral facial weakness including inability to close the eye, no forehead sparing, onset 24 hours ago. Best initial management?

Accepted Answer

Oral prednisolone within 72 hours

Answer

Oral aciclovir alone

Answer

Immediate MRI brain

Answer

No treatment; most recover spontaneously

Answer

High-dose steroids and antivirals for all

mrcgp akt MCQ (SBA): Bell’s palsy

A 23-year-old presents with unilateral facial weakness including inability to close the eye, no forehead sparing, onset 24 hours ago. Best initial management?