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Bell's Palsy in Pregnancy: A Case Series
Sumonthip Leelawai1, Pornchai Sathirapanya1, Chitkasaem Suwanrath2
1Division of Neurology, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand.
Case Reports in Neurology
|January 14, 2021
Summary
Pregnancy-associated Bell's palsy (PABP) rarely co-occurred with preeclampsia or eclampsia. Most PABP cases showed satisfactory recovery and positive neonatal outcomes.
Area of Science:
- Obstetrics and Gynecology
- Neurology
Background:
- The relationship between pregnancy-associated Bell's palsy (PABP) and hypertensive disorders like gestational hypertension (GHT), preeclampsia (PE), and eclampsia (EC) requires further investigation.
- Understanding PABP characteristics and neonatal outcomes is crucial for clinical management.
Observation:
- A retrospective review identified eight PABP cases between 2006 and 2016.
- PABP primarily occurred in the third trimester, with most patients being first- or second-gravida.
- No PABP cases were associated with eclampsia; one case had preeclampsia, and another had gestational hypertension with gestational diabetes mellitus.
Findings:
- Pregnancy-associated Bell's palsy demonstrated satisfactory maternal recovery, with facial weakness resolving favorably.
- Previous obstetric complications were linked to current preeclampsia, gestational hypertension, and gestational diabetes mellitus.
- Neonatal outcomes were generally positive, with no reported anomalies.
Implications:
- PABP is not strongly associated with severe hypertensive disorders of pregnancy.
- Previous obstetric history may predict the development of hypertensive disorders and gestational diabetes mellitus in PABP cases.
- The study suggests a favorable prognosis for both maternal PABP recovery and neonatal health.
