Five years ago, a young woman awoke with the inability to move the left side of her face. She was pregnant at that time. On examination it was found that she had absent brow furrowing, weak eye closure, and dropping of her mouth angle (Figure 233-1). She was diagnosed with Bell's palsy and was provided eye lubricants and guidance on keeping her left eye moist. Her physician discussed the available evidence about treatment with steroids. She chose not to take the steroids because of her pregnancy.