Bell's palsy not responding to steroid

NEET PG ENT
#1

Bell’s palsy not responding to steroid. What will be the further line of managment -

    1. Increase the dose of steroid
    1. Vasodilators and ACTH
    1. Surgical decompression
    1. Electrophysiological nerve testing

0 voters

EXP:

  • If the patient of Bell’s palsy is not responding to conservative treatment, electrodiagnostic study (electrophysiological study) should be done.
  • Electrodiagnostic study includes, electromyography (EMG), Electroneurography (ENG), minimal excitibility test and maximal excitibility test.
  • Surgery is reserved for those who meet electrodiagnostic (electrophysiological) study criteria or are worsening on medial treatment.