Causes of Bell's Palsy

The exact causes of Bell's palsy are unknown; however, most research scientists believe that a viral infection such as viral meningitis or the common cold sore virus -- herpes simplex -- causes Bell's palsy. Several medical conditions are associated with Bell's palsy, including influenza, headaches, diabetes, and Lyme disease.

 

Causes of Bell's Palsy: An Introduction

Bell's palsy occurs when the nerve that controls the facial muscles is swollen, inflamed, or compressed, resulting in facial weakness or paralysis. Exactly what causes this damage, however, is unknown.
 

Causes of Bell's Palsy: Possible Viral Infection

Most research scientists believe that a viral infection such as viral meningitis or the common cold sore virus -- herpes simplex -- causes Bell's palsy. They believe that the facial nerve swells and becomes inflamed in reaction to the infection, causing pressure within the fallopian canal and leading to an infarction (the death of nerve cells due to insufficient blood and oxygen supply).
 
In some mild cases (where recovery is rapid), there is damage only to the myelin sheath of the nerve. The myelin sheath is the fatty covering, which acts as an insulator, on nerve fibers in the brain.
 

Other Possible Causes of Bell's Palsy

There are several medical conditions associated with Bell's palsy. While scientists do not believe these conditions are specific causes of Bell's palsy, people with these conditions may be at increased risk for developing the condition. Medical conditions associated with Bell's palsy include:
 
Written by/reviewed by: Arthur Schoenstadt, MD
Last reviewed by: Arthur Schoenstadt, MD
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