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KMID : 0861220090110020048
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Journal of the Korean Society Clinical Neurophysiology
2009 Volume.11 No. 2 p.48 ~ p.53
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Neuropsychologic Analysis of Acute Bell’s Palsy
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Yoo Ji-Hoon
Lee Dong-Kuck
Han Woo-Ho
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Abstract
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Background: Bell’s palsy produces a complex problem that involves not only facial motor weakness, but also psychiatric issues. However, the relationship between facial neuromotor system impairment and psychological adjustment has not been well understood.
Methods: We have performed psychological evaluations in patients with acute unilateral Bell’s palsy within 2 weeks after onset. Thirty patients with Bell’s palsy (10 men, 20 women) were included, who were diagnosed by neurologic examination, electrophysiologic study and/or brain MRI. We measured facial motor scale of impairment (House-Brackmann, HB scale) and psychosocial adjustment [Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI)] at the time of initial presentation and 1 month after diagnosis.
Results: The age of the enrolled patients ranged from 16 to 80 years. The mean grade of initial and follow up HB scale were 3.87 (SD: 0.63, range 2~5) and 1.77 (SD: 1.10, range 1~5). The mean score of initial and follow up BAI, BDI were 11.93 (range; 0 to 47, SD: 9.65, very low anxiety), 14.73 (range; 0 to 41, SD: 9.21 minimal depression) and 7.5 (range; 0 to 36, SD: 8.58, very low anxiety), 9.33 (range; 0 to 30, SD: 8.19 minimal depression). There was positive correlation between improvement of HB scale and improvement of BAI and BDI score.
Conclusions: Bell’s palsy is associated with the psychological problems such as depression and anxiety, and the improvement of motor symptom is associated with the improvement of these psychological problems.
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KEYWORD
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Bell’s palsy, Depression, Anxiety
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