Guideline recommends corticosteroids for Bell’s palsy
The 2014 American Academy of Neurology evidence-based guideline reviewed all studies of the use of steroids in Bell’s palsy published after the original 2001 guideline.3 They found 2 high-quality RCTs, both of which are included in the 2010 Cochrane review. The 2014 guideline recommends corticosteroids for every patient who develops Bell’s palsy unless a medical contraindication exists (2 Class 1 studies [RCTs], Level A [must prescribe or offer]).