[Aetiopathogenesis of Bell's idiopathic peripheral facial palsy].
BACKGROUND
Bell's facial palsy is a common condition with an incidence varying between 11.5 and 40.2 cases per 100,000 persons per year. However, some aspects of its aetiopathogenesis are still not clear.


METHODS
Over the years four theories have been suggested to explain the disorder: vascular, immunological, compressive and viral. The vascular theory (the oldest) has been ruled out by various studies. Subsequently, the immunological and compressive theories were described almost simultaneously. The former established the mechanisms generating a neural inflammatory response, and the second the morphological basis which made the nerve sensitive to these mechanisms. Both theories suggested, amongst other agents, a virus as the agent triggering the process. Recently a virus of the herpes simplex family has been identified as the cause of the disease.


CONCLUSIONS
At present there is broad general agreement that Bell s facial palsy is caused by reactivation of a latent infected with human herpes simplex virus, localized to the facial nerve.
de Diego
J I
JI
Servicio de ORL, Hospital General Universitario La Paz, Madrid, 28046, España. jidediegompprim@retemail.es
Prim
M P
MP
Gavilán
J
J
D000818:Animals; D020330:Bell Palsy / Q000209:etiology* / Q000276:immunology / Q000821:virology; D005145:Face / Q000098:blood supply; D005154:Facial Nerve / Q000821:virology; D006561:Herpes Simplex / Q000150:complications; D018259:Herpesvirus 1, Human; D006801:Humans; D006967:Hypersensitivity / Q000150:complications; D007511:Ischemia / Q000150:complications; D009408:Nerve Compression Syndromes / Q000150:complications