Annals of Clinical Neurophysiology

The Korean Society of Clinical Neurophysiology (대한임상신경생리학회)
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Neuropsychologic Analysis of Acute Bell's Palsy

급성 벨마비 환자의 자가보고형 불안 및 우울평가

  • Yoo, Ji-Hoon (Department of Neurology, Catholic University of Daegu School of Medicine) ;
  • Han, Woo-Ho (Department of Neurology, Catholic University of Daegu School of Medicine) ;
  • Lee, Dong-Kuck (Department of Neurology, Catholic University of Daegu School of Medicine)
  • 유지훈 (대구가톨릭대학교 의과대학 신경과학교실) ;
  • 한우호 (대구가톨릭대학교 의과대학 신경과학교실) ;
  • 이동국 (대구가톨릭대학교 의과대학 신경과학교실)
  • Received : 2009.06.18
  • Accepted : 2009.09.21
  • Published : 2009.12.30
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Abstract

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.

Keywords

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