Angelina Jolie and George Clooney have more in common than international fame: both have reportedly experienced Bell’s palsy. In the Philippines, broadcast journalist Bernadette Sembrano and actresses Ai-Ai delas Alas and Angelu de Leon have also shared their experiences with the condition. While these public figures have helped bring Bell’s palsy into public conversations, many people remain unfamiliar with its symptoms and potential complications.

According to Makati Medical Center (MakatiMed), Bell’s palsy is the most common cause of acute, one-sided facial paralysis. It occurs when the facial nerve becomes inflamed, resulting in weakness or loss of movement in part of the face.

“Bell’s palsy often comes without warning,” explains Donnabelle M. Chu, MD, FPNA, a neurologist. “All of a sudden, a person can wake up unable to smile properly or close one eye.”

The condition affects the seventh cranial nerve, also known as the facial nerve, which controls facial movements and supports functions such as taste and saliva production. When inflammation disrupts the nerve’s signals, the muscles on one side of the face may become weak.
Recognizing the Symptoms and Risk Factors
Symptoms typically develop suddenly and may become more noticeable within the first 48 to 72 hours. These include facial drooping, difficulty blinking or closing one eye, headaches, changes in taste, and increased sensitivity to sound. Some individuals may also experience dry eyes or excessive tearing on the affected side.

Although the exact cause of Bell’s palsy remains uncertain, it is believed to be associated with viral infections, including the reactivation of dormant viruses. Stress, lack of sleep, and a weakened immune system may also contribute to its development.

“The condition can affect anyone, but certain individuals are more vulnerable to it,” says Dr. Chu. “Pregnant women, especially those in their third trimester or those who have recently given birth, as well people who are diabetic, have high blood pressure, diagnosed as obese, or have a family history of Bell’s palsy have higher susceptibility.”
Bell’s Palsy or Stroke? Why Medical Assessment Is Important
Because Bell’s palsy and stroke can both cause sudden facial drooping, distinguishing between the two is critical. However, stroke may also involve symptoms affecting other parts of the body.

“A stroke, compared to Bell’s palsy, affects not just the person’s face,” Dr. Chu points out. “Individuals experiencing a stroke may experience numbness in one arm or leg, slurred speech, or vision problems. Still, medical evaluation is crucial to properly identify which condition the person is suffering from.”

Sudden facial weakness should be treated as a medical emergency. If facial drooping occurs with arm or leg weakness, speech difficulties, vision changes, or other possible stroke symptoms, seek emergency medical care immediately rather than assuming it is Bell’s palsy.

A physical examination, imaging tests, or nerve studies may be used by doctors to diagnose Bell’s palsy and rule out stroke and other conditions.
Early Treatment Can Support Recovery
Bell’s palsy is usually temporary, with recovery often beginning within three weeks to six months. Early medical consultation is important, as treatment is generally most effective when started promptly.

“Corticosteroids, used to reduce inflammation and suppress overactive immune system responses, are most effective when taken within the first 48 to 72 hours after symptoms,” says Dr. Chu. These medications should only be taken under a doctor’s guidance.

Supportive recovery practices may include gentle facial exercises, eating slowly, maintaining good oral hygiene, and protecting the affected eye through lubricating eye ointments or protective eye patches, as recommended by a healthcare professional.
Don’t Ignore the Signs
The experiences of public figures serve as a reminder that Bell’s palsy can affect people from different backgrounds. While the condition is often temporary, sudden facial weakness should never be ignored or self-diagnosed.

“The stories of these public figures tell us that Bell’s palsy can affect anyone. However, it is important not to panic, but not ignore the symptoms either,” Dr. Chu reminds the public. “Early consultation will help rule out stroke and provide immediate care for the best chance at complete recovery.”

For more information, contact MakatiMed On-Call at +632.88888 999, email mmc@makatimed.net.ph, or visit www.makatimed.net.ph. Follow @IamMakatiMed on Facebook and X (formerly Twitter).