Evidence map›Paper›PMID 41186499›Full record

ArticleClinical rehabilitation2026

Post-stroke facial palsy: Prevalence, recovery patterns within the first 7 days, risk factors, and effect of hyperacute treatments.

Zewen Lu, Havva Sumeyye Eroglu, Halvor Naess, Matthew Gittins, Amit K Kishore, Craig J Smith, Andy Vail, Claire Mitchell

Abstract read
In one paragraph

Article in Clinical rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Zewen LuCentre for Biostatistics, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.ORCID 0009-0005-7801-049X
Havva Sumeyye ErogluDivision of Psychology, Communication & Human Neuroscience, Geoffrey Jefferson Brain Research Centre, University of Manchester, Manchester, UK.ORCID 0000-0001-5032-460X
Halvor NaessDepartment of Neurology, University of Bergen, Haukeland University Hospital, Bergen, Norway.
Matthew GittinsCentre for Biostatistics, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Amit K KishoreManchester Centre for Clinical Neuroscience, Geoffrey Jefferson Brain Research Centre, Manchester Academic Health Centre, Manchester Academic Health Centre, Salford Care Organisation, Northern Care Alliance NHS Foundation Trust, Manchester, UK.ORCID 0000-0003-1820-8697
Craig J SmithManchester Centre for Clinical Neuroscience, Geoffrey Jefferson Brain Research Centre, Manchester Academic Health Centre, Manchester Academic Health Centre, Salford Care Organisation, Northern Care Alliance NHS Foundation Trust, Manchester, UK.
Andy VailCentre for Biostatistics, University of Manchester, Manchester Academic Health Science Centre, Manchester, UK.
Claire MitchellDivision of Psychology, Communication & Human Neuroscience, Geoffrey Jefferson Brain Research Centre, University of Manchester, Manchester, UK.ORCID 0000-0002-2445-8468

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

ObjectiveThis study estimated the prevalence of facial palsy after stroke and identified risk factors; examined recovery patterns; and evaluated the effect of hyperacute treatments on its recovery.Design and settingThis was a secondary analysis of data prospectively collected in the first 7 days of stroke admission for the Bergen NORSTROKE study.ParticipantsOf 5987 patients, a subgroup of 2293 with facial palsy were analysed for recovery, including 1954 with ischaemic stroke assessed for treatment effect.Main measurementsFacial palsy was assessed repeatedly at irregular intervals from admission using the National Institute of Health Stroke Scale.AnalysisPrevalence was summarised descriptively, and multifactorial logistic regression identified risk factors. The recovery was analysed with Kaplan-Meier curves and Cox models.ResultsFacial palsy was observed in 2578 patients (43%), including 2406 (40%) with minor or partial paralysis and 172 (3%) with complete paralysis. Facial palsy was more common in haemorrhagic (360, 54%) than ischaemic stroke (2218, 42%), reflecting greater motor impairment. Among patients without motor impairment, prevalence was lower in haemorrhagic strokes (15, 10%) than in ischaemic strokes (284, 14%). Risk factors included sex, age, and the degree of motor and sensory deficit. By day 2, 573 patients (25%) had fully recovered, while 1434 (63%) still had symptoms by day 7. Worse recovery was associated with more severe motor and sensory impairments. Intravenous thrombolysis was associated with better recovery.ConclusionsOur study provides a comprehensive analysis of post-stroke facial palsy, highlighting recovery patterns and the need for ongoing monitoring and rehabilitation.

Indexed as

Facial ParalysisIschemic StrokeStrokeStroke RehabilitationAgedAged, 80 and overFemaleHumansMaleMiddle AgedPrevalenceProspective StudiesRecovery of FunctionRisk FactorsTime FactorsTreatment Outcomehyper-acute treatmentsPost-stroke facial palsyprevalencerecovery patternsrisk factors

Identifiers

PMID41186499
PMCPMC12920672

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.