Can vitamin B12 treat facial paralysis?

Patient's question:

Left side of face numb, mouth drooping, eyes slanted; onset of illness in May. Can vitamin B12 cure facial paralysis?

Doctor's answer:

Bell's palsy is caused by cold or anesthetic effects on the facial nerve. During the acute phase of treatment, dehydration and hormones are typically required. The combination of medication for the autonomic nervous system, acupuncture, and electrotherapy is usually stable after approximately two weeks of treatment. Patients often experience certain sequelae. It is essential to keep the facial skin warm. Long-term intake of vitamin B12 has a nourishing effect on nerves and can be taken, but the effectiveness may not be significant. Bell's palsy can be divided into peripheral facial palsy and central facial palsy. Central facial palsy refers to facial paralysis symptoms caused by intracranial inflammation, rather than an issue with the facial nerve itself. Middle-aged and elderly individuals should be particularly vigilant. Peripheral facial palsy can be treated with vitamin B12 to nourish nerves, as well as through methods such as acupuncture and ointments.

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