Does facial neuritis cause fever?

Written by Yuan Jun Li
Neurology
Updated on March 27, 2025
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Bell's palsy can cause fever, usually a low-grade fever. When the body temperature is between 37°C and 38°C, it is generally referred to as low-grade fever.

The primary cause of Bell's palsy is viral infection. Patients may also exhibit symptoms such as eye fissures, paralysis of the facial expression muscles of the upper and lower face, disappearance of forehead creases, enlargement of the eye fissures, incomplete eyelid closure, showing white sclera when the eyes are closed, shallowing of the nasolabial folds, deviation of the mouth corners, air leakage when whistling, air escaping when puffing cheeks, loss or reduction of taste in the anterior two-thirds of the tongue, and difficulty in retaining food on the affected side when eating. Patients are prone to developing oral inflammation and conjunctivitis. Early and proper treatment after the onset is crucial, and most patients can achieve clinical cure after treatment.

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Written by Tang Bo
Neurology
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How is facial neuritis best treated?

The treatment of facial neuritis primarily aims to improve local blood circulation, alleviate facial nerve edema, relieve nerve compression, and promote the recovery of nerve function. Therefore, its treatment includes medication, which mainly nourishes the nerves, and may also involve antiviral drugs and corticosteroids. Physiotherapy, particularly post-acute phase, can include acupuncture or infrared radiation and local heat application. Eye protection is also necessary because patients with facial neuritis may not be able to fully close their eyelids, leaving the cornea exposed and susceptible to infection. Finally, rehabilitation treatment includes acupuncture, which is also part of the mentioned physiotherapy.

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Written by Zhang Hui
Neurology
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Nursing Measures for Facial Neuritis

Facial neuritis is a nonspecific inflammatory response of the facial nerve, which can cause paralysis of the facial expression muscles. Patients may exhibit symptoms such as crooked mouth, drooling, incomplete eye closure, and a shallower nasolabial fold. The nursing measures for facial neuritis mainly include: First, it is essential to protect the eyes. Since some patients with facial neuritis may experience reduced tear gland secretion, their eyes can become very dry, and it is advisable to use eye drops. Additionally, some patients may not be able to fully close their eyes, allowing dust and viruses to easily infect the cornea and cause keratitis. It is necessary to cover the eyes with a moist gauze, especially during sleep at night. Second, patients should avoid spicy and irritating foods and adhere to a bland diet. Third, it is important to keep the face warm, and it is best for patients to wear a mask. (Note: The doctor's answer is for reference only. Please use medication under the guidance of a professional physician and do not self-medicate.)

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Written by Zhang Hui
Neurology
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Causes of facial neuritis

The etiology of facial neuritis is not very clear, but some views suggest that viral infections can cause edema of the facial nerve, leading to compression of the nerve and resulting in inflammation. Additionally, some nonspecific inflammatory responses can also lead to edema of the facial nerve, presenting some clinical manifestations of facial paralysis. Other high-risk factors for facial neuritis include diabetes, autonomic instability, rheumatoid immune diseases, lymphoma, etc. Therefore, it is evident that the mechanisms of facial neuritis onset are unclear, with potential causes including viral infections, diabetes, central nervous system lymphoma, or autonomic instability, all of which can lead to facial neuritis. The primary symptom of facial neuritis is paralysis of the facial muscles. With standard treatment, complete recovery generally occurs within one to two months. Facial neuritis caused by tumors tends to recur and requires heightened vigilance.

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Written by Yuan Jun Li
Neurology
57sec home-news-image

Does facial neuritis cause fever?

Bell's palsy can cause fever, usually a low-grade fever. When the body temperature is between 37°C and 38°C, it is generally referred to as low-grade fever. The primary cause of Bell's palsy is viral infection. Patients may also exhibit symptoms such as eye fissures, paralysis of the facial expression muscles of the upper and lower face, disappearance of forehead creases, enlargement of the eye fissures, incomplete eyelid closure, showing white sclera when the eyes are closed, shallowing of the nasolabial folds, deviation of the mouth corners, air leakage when whistling, air escaping when puffing cheeks, loss or reduction of taste in the anterior two-thirds of the tongue, and difficulty in retaining food on the affected side when eating. Patients are prone to developing oral inflammation and conjunctivitis. Early and proper treatment after the onset is crucial, and most patients can achieve clinical cure after treatment.

doctor image
home-news-image
Written by Zhang Hui
Neurology
1min 3sec home-news-image

Does facial neuritis need treatment?

Bell's palsy is a nonspecific inflammatory reaction, primarily caused by impairment of the facial nerve leading to paralysis of the facial muscles. In general, if the symptoms of Bell's palsy are mild, such as slight drooping of the corner of the mouth and drooling, there is a possibility for spontaneous recovery. However, if the symptoms of Bell's palsy are severe, and the patient also has risk factors for diabetes, these symptoms mainly include noticeably shallower forehead wrinkles, weakness in opening and closing the eyes, inability to close the eyes while sleeping, and very severe facial paralysis. In such cases, spontaneous recovery is difficult, and active treatment is required. Treatment mainly includes corticosteroid drugs and B vitamins, along with some rehabilitative training. In summary, Bell's palsy can resolve on its own if the symptoms are mild; however, if the symptoms are severe, timely treatment is necessary to avoid lasting effects.