Table 6
Author, date and countryPatient groupStudy type (level of evidence)OutcomesKey resultsStudy weaknesses
Adour KK et al, 1996, USA119 patients presented within the first 72 hoursPRCTVisual assessment of motor recovery by FPRP & FPRISmall treatment effect was demonstrated in the acyclovir and prednisolone group (p=0.04)Small study
20% patients (16.8%) were lost to follow up
Acyclovir and prednisolone v placebo and prednisolone
Acyclovir 2000 mg per day for 10 daysElectrical testingAcyclovir and prednisolone group had less partial nerve degeneration (p=0.05)No intention to treat analysis
Prednisolone 1 mg/kg for 5 days tapered to 10 mg/day for next 5 days
De Diego JI et al, 1998, Spain113 patients presenting within the first 96 hoursPRCTVisual assessment of motor recovery by FPRPPrednisone was beneficial (p=0.0338)Small study
No real placebo control group
Acyclovir alone v prednisolone alone
Acyclovir 2400 mg per day for 10 daysElectrical testingPrednisone had less degeneration of marginal branch of facial nerve (p=0.02)12 patients (10.6%) were lost to follow up
Prednisolone 1 mg/kg for 10 days tapered to zero over the next 6 daysNo intention to treat analysis