A 27-year-old woman presents to the nurse practitioner with unilateral facial paralysis that had a rapid onset. Which of the following is NOT true about Bell's palsy?

Choice A reason: It is true that Bell’s palsy often resolves spontaneously in many patients, with approximately 70% recovering fully without intervention. This highlights the typically self-limiting nature of the disorder. Choice B reason: Diabetes, pregnancy, preeclampsia, obesity, and hypertension are recognized risk factors for Bell’s palsy. These conditions may contribute to microvascular changes or immune responses that trigger the facial nerve dysfunction. Choice C reason: Most cases of Bell’s palsy occur in adults between the ages of 15 and 60, not predominantly before 18 years. This statement is incorrect and therefore the correct choice for this question. Choice D reason: Bell’s palsy can affect anyone regardless of sex or race, and it may occur at any age, supporting its classification as a non-discriminatory neurological disorder.