Bell’s Palsy Treated with Cortisone

Author and Disclosure Information


BELL’S palsy was first treated with cortisone in 1951, Rothendler1 reporting the first case. Cortisone therapy was begun the day after the paralysis appeared; definite improvement in the palsy was noted within three days and complete recovery in seven days. The next year, Robbins2 reported one case of Bell’s palsy in which treatment with cortisone was begun nine days after the onset of the paralysis. Improvement was noted within 24 hours; there was complete recovery in 12 days.

In 1953 Rothendler3 reported seven more cases. In all instances, therapy with cortisone was begun from one to ten days after the paralysis appeared. In all but one of the cases, within the first week of treatment recovery had begun and by the end of the second week recovery was complete. In the case that did not respond, the paralysis had been present for ten days and atrophy of the nerve had resulted, as indicated by the faradic test.

The report of five cases by Whitty4 lacks details; however, it states that in four cases cortisone therapy was begun within 48 hours and, in the fifth case, within four days of the onset of paralysis. In three of the five cases improvement was noted within 14 days after treatment had been initiated.

Robinson and Moss5 reported two cases. In one, treatment with cortisone was started within three days of paralysis; there was definite improvement three days later, and complete recovery in six days. In the other case, the Bell’s palsy had been . . .



Next Article: