Intravenous acyclovir as a treatment for idiopathic peripheral facial palsy in a newborn. Case Report

Introduction: Neonatal facial palsy due to Bell’s palsy is rare. A traumatic delivery mechanism represents a common etiology. Clinical case: Neonate, without previous illnesses, born by spontaneous non-instrumentalized delivery and without any obstetric complications; who presented acute right faci...

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Main Authors: Falla Zuñiga, Luis Felipe, Rojas Cerón, Christian Andrés
Format: Article
Language:Spanish
Published: Universidad de Antioquia 2021-07-01
Series:Iatreia
Subjects:
Online Access:https://revistas.udea.edu.co/index.php/iatreia/article/view/343793/20805052
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author Falla Zuñiga, Luis Felipe
Rojas Cerón, Christian Andrés
author_facet Falla Zuñiga, Luis Felipe
Rojas Cerón, Christian Andrés
author_sort Falla Zuñiga, Luis Felipe
collection DOAJ
description Introduction: Neonatal facial palsy due to Bell’s palsy is rare. A traumatic delivery mechanism represents a common etiology. Clinical case: Neonate, without previous illnesses, born by spontaneous non-instrumentalized delivery and without any obstetric complications; who presented acute right facial palsy, with normal brain imaging and clinical findings compatible with Bell’s palsy, who had a good response to antiretroviral management and physical therapy. Discussion: Most infants with Bell’s palsy improve with or without treatment, with no serious sequelae. In pediatric population, evidence on benefits of steroids use, alone or with antiretrovirals, has not been conclusive. There is not a current consensus on the safety of late postnatal steroid use, and they should be reserved for neonates who have no other treatment choice. Acyclovir use at 60/mg/Kg/day it’s safe in neonates. Conclusions: Neonatal Bell’s palsy may present a favorable response to antiretroviral therapy and an adherent physical rehabilitation program, irrespective of steroids use.
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spelling doaj.art-94bbc67221b34cbc8c313382e574e5742022-12-21T17:59:55ZspaUniversidad de AntioquiaIatreia0121-07932011-79652021-07-0134327527910.17533/udea.iatreia.111Intravenous acyclovir as a treatment for idiopathic peripheral facial palsy in a newborn. Case ReportFalla Zuñiga, Luis Felipe0Rojas Cerón, Christian Andrés1Universidad del Valle, Cali, ColombiaUniversidad del Valle, Cali, ColombiaIntroduction: Neonatal facial palsy due to Bell’s palsy is rare. A traumatic delivery mechanism represents a common etiology. Clinical case: Neonate, without previous illnesses, born by spontaneous non-instrumentalized delivery and without any obstetric complications; who presented acute right facial palsy, with normal brain imaging and clinical findings compatible with Bell’s palsy, who had a good response to antiretroviral management and physical therapy. Discussion: Most infants with Bell’s palsy improve with or without treatment, with no serious sequelae. In pediatric population, evidence on benefits of steroids use, alone or with antiretrovirals, has not been conclusive. There is not a current consensus on the safety of late postnatal steroid use, and they should be reserved for neonates who have no other treatment choice. Acyclovir use at 60/mg/Kg/day it’s safe in neonates. Conclusions: Neonatal Bell’s palsy may present a favorable response to antiretroviral therapy and an adherent physical rehabilitation program, irrespective of steroids use.https://revistas.udea.edu.co/index.php/iatreia/article/view/343793/20805052acyclovirbell palsydrug therapyfacial nerveinfant newborn
spellingShingle Falla Zuñiga, Luis Felipe
Rojas Cerón, Christian Andrés
Intravenous acyclovir as a treatment for idiopathic peripheral facial palsy in a newborn. Case Report
Iatreia
acyclovir
bell palsy
drug therapy
facial nerve
infant newborn
title Intravenous acyclovir as a treatment for idiopathic peripheral facial palsy in a newborn. Case Report
title_full Intravenous acyclovir as a treatment for idiopathic peripheral facial palsy in a newborn. Case Report
title_fullStr Intravenous acyclovir as a treatment for idiopathic peripheral facial palsy in a newborn. Case Report
title_full_unstemmed Intravenous acyclovir as a treatment for idiopathic peripheral facial palsy in a newborn. Case Report
title_short Intravenous acyclovir as a treatment for idiopathic peripheral facial palsy in a newborn. Case Report
title_sort intravenous acyclovir as a treatment for idiopathic peripheral facial palsy in a newborn case report
topic acyclovir
bell palsy
drug therapy
facial nerve
infant newborn
url https://revistas.udea.edu.co/index.php/iatreia/article/view/343793/20805052
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AT rojasceronchristianandres intravenousacyclovirasatreatmentforidiopathicperipheralfacialpalsyinanewborncasereport