UK Guidelines Quiz – Recognising Suspected Neurological Conditions 

Dr Rob Hicks

Disclosures

July 15, 2019

The NICE guideline highlights how uncomplicated Bell's palsy can be diagnosed and managed in primary care without the need for routinely referring cases where there's no evidence of another medical condition. Consideration should be given to referring those adults who develop symptoms of aberrant reinnervation, such as jaw-winking, 5 or more months after the Bell's palsy onset. NICE also emphasises the importance of explaining to those with Bell's palsy that the condition improves at different rates and that recovery can take months and may not be complete. Specialist treatment can be beneficial if someone has troublesome symptoms after recovery.

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