Idiopathic Facial Palsy and Pregnancy

Mair, I. W. S.; Elverland, Hans H.; Johannessen, Thor A.

doi:10.1177/000348947308200224

Cited by 11 publications

(6 citation statements)

References 13 publications

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“…Although Peitersen 3 suggested a less-favorable prognosis in pregnant women, no supportive data were outlined in his study. Other studies 5,6,12,[17][18][19] that report on recovery in pregnant females, although supportive of Peitersen's conclusions, are largely anecdotal, do not consider the severity of the paralysis at onset, and do not objectively grade recovery.…”

Section: Discussionmentioning

confidence: 95%

Bell's Palsy in Pregnancy: A Study of Recovery Outcomes

Gillman¹,

Schaitkin²,

May³

et al. 2002

Otolaryngol.--head neck surg.

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Section: Discussionmentioning

confidence: 95%

Bell's Palsy in Pregnancy: A Study of Recovery Outcomes

Gillman¹,

Schaitkin²,

May³

et al. 2002

Otolaryngol.--head neck surg.

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“…Population-based incidence rates of Bell's palsy have been reported from areas within Europe [16,17,45,46], the United States [21,26,47], the Near East [20,25], South America [24] and Japan [27,28], While the number of population-based studies is limited, these rates are reasonably consistent and demon strate that the annual incidence of Bell's palsy in these populations appears to vary between 13 and 34 per 100,000 [47]. In addition to true differences between these populations, varying methods of case referral, ascertain ment, and diagnosis may account for the small differences noted between studies.…”

Section: Introductionmentioning

confidence: 99%

Incidence and Risk Factors for Bell's Palsy in Laredo, Texas: 1974–1982

Brandenburg

Annegers

1993

Neuroepidemiology

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Incidence rates of Bell''s palsy in the predominately Mexican-American population of Laredo, Texas, USA, are higher than those reported elsewhere, reaching 23.5 per 100,000 among males and 32.7 per 100,000 among females. During childbearing years (15–44) the risk of Bell''s palsy was greater for women than for men (incidence density ratio 2.0; 95% confidence interval 1.3–3.1). No evidence for seasonality or epidemicity was obtained. Using prevalence estimates from community surveys in south Texas or the Hispanic Health and Nutrition Survey, standardized prevalence ratios (SPR) calculated for hypertension revealed a 10 or 20% increased risk for women and a 50 or 60% increased risk for men. SPRs calculated for diabetes among men with Bell''s palsy were twice that expected, while risks of 60% or 90% were noted for women. The increased incidence of Bell''s palsy observed in Laredo appears to be due to the high prevalence of diabetes in Mexican-Americans and, to a lesser extent, uncontrolled hypertension.

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“…15 Although none of the authors felt that their reports showed a statistically valid association, they hoped that their articles would point out the need for further study in this area. Since that time, several unsuccessful attempts have been made to establish or refute a definite relationship between idiopathic facial paralysis (Bell's palsy) and pregnancy.2.…”

mentioning

confidence: 96%

Idiopathic Facial Paralysis, Pregnancy, and the Menstrual Cycle

Hilsinger

Adour

Doty

1975

Ann Otol Rhinol Laryngol

130

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The records of 42 women with Bell's palsy during pregnancy, and of 91 nonpregnant women, whose dats of onset of Bell's palsy and of the preceding menstrual cycle were precisely known, were studied for factors that might show relation between pregnancy or the menstrual cycle and Bell's palsy. Of the 42 cases in pregnancy, 31 occurred in the third trimester, five in the first two weeks postpartum, and six in the first two trimesters combined. Our calculated frequency of Bell's palsy in pregnant women is 45.1/100,000 births; for nonpregnant women of the same age group the calculated incidence is 17.4/100,000 per year. No causative relation was found between toxemia, hypertension or primigravidity, and Bell's palsy. Over 60% of the cases in nonpregnant women occurred in the first 14 days of the menstrual cycle with peaks on the first and seventh days and near ovulation. No clear evidence for an etiologic relationship was seen with edema or hormonal changes in either pregnancy or the menstrual cycle. A number of factors in pregnancy and the menstrual cycle suggested an etiologic role for herpes simplex virus reactivation in Bell's palsy. There was no evidence that prednisone treatment is contraindicated during pregnancy.

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Idiopathic Facial Palsy and Pregnancy

Cited by 11 publications

References 13 publications

Bell's Palsy in Pregnancy: A Study of Recovery Outcomes

Bell's Palsy in Pregnancy: A Study of Recovery Outcomes

Incidence and Risk Factors for Bell's Palsy in Laredo, Texas: 1974–1982

Idiopathic Facial Paralysis, Pregnancy, and the Menstrual Cycle

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