LMN Facial Palsy in Pregnancy: An Opportunity to Predict Preeclampsia—Report and Review

Aditya, Vani

doi:10.1155/2014/626871

Cited by 7 publications

(4 citation statements)

References 19 publications

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“…There are several possible risk factors for BP, including severe preeclampsia [71], psychological factors [72], glucose metabolism abnormalities [73], radiation exposure [74], hypertension [75], and migraine [76]. Recently, epidemiological studies have revealed that the incidence of BP is also related to extreme temperature exposure.…”

Section: Acute Cold Exposurementioning

confidence: 99%

The etiology of Bell’s palsy: a review

et al. 2019

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Bell's palsy is the most common condition involving a rapid and unilateral onset of peripheral paresis/paralysis of the seventh cranial nerve. It affects 11.5-53.3 per 100,000 individuals a year across different populations. Bell's palsy is a health issue causing concern and has an extremely negative effect on both patients and their families. Therefore, diagnosis and prompt cause determination are key for early treatment. However, the etiology of Bell's palsy is unclear, and this affects its treatment. Thus, it is critical to determine the causes of Bell's palsy so that targeted treatment approaches can be developed and employed. This article reviews the literature on the diagnosis of Bell's palsy and examines possible etiologies of the disorder. It also suggests that the diagnosis of idiopathic facial palsy is based on exclusion and is most often made based on five factors including anatomical structure, viral infection, ischemia, inflammation, and cold stimulation responsivity.

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Section: Acute Cold Exposurementioning

confidence: 99%

The etiology of Bell’s palsy: a review

et al. 2019

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“…The cause remains idiopathic but strongly associated with certain viral infections, resulting in nerve inflammation causing focal edema, demyelination, and ischemia. According to various studies, certain risk factors like increased blood sugar [ 2 ], uncontrolled blood pressure, severe pre-eclampsia [ 3 ], migraine [ 4 ], and radiation exposure [ 5 ] aid in the pathologic processes and make an individual more prone to palsy. The weakness could be complete or partial and may be associated with numbness, mild pain, enhanced sound sensitivity, and alteration in taste.…”

Section: Introductionmentioning

confidence: 99%

Bell's Palsy: A Review

Singh¹,

Deshmukh²

2022

Cureus

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Bell's palsy, also known as "acute facial palsy of unknown cause", is a common cranial neuropathy leading to facial muscle paresis or complete paralysis characteristically on one side, occurring suddenly and may progress over 48 hours. It results from facial nerve dysfunction due to trauma or inflammation of the 7 th cranial nerve or facial nerve or its branches along its course, primarily in the bony canal. Both sexes are equally affected, and though no age is immune, its incidence rises with increasing age. The risk is high in diabetics, hypertensives, women who are pregnant, obese, and people with upper respiratory tract infections. It is considered chiefly idiopathic and is diagnosed by the exclusion of other causes. Bell's palsy can cause physical and psychological complications and negatively impact patients and their relatives. Thus, early diagnosis and quick cause determination are prime roles in proper treatment. However, the exact etiology of Bell's palsy is unknown, affecting its treatment. Still, determining probable causative and risk factors is critical for employing a targeted treatment approach and requires a comprehensive examination and a complete history. Although the majority of patients recover spontaneously in less than three weeks even if they are not treated. But there is always a risk of residual paresis after treatment or recovery, which may require medical help. This review aims to furnish the most thorough understanding of Bell's palsy, focusing on anatomy, etiology, clinical features, diagnosis, clinical consequences, and preferred therapy approaches.

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“…However, fortunately, our case had a benign course. 2 The occurrence of Bell's palsy (estimated to be around 40 per 100,000 pregnant women) is much higher compared with non-pregnant women. The occurrence is higher in the third trimester and also during the postpartum period.…”

Section: Discussionmentioning

confidence: 99%

Pregnancy with Preeclampsia and Bell\'s Palsy: An Interesting Case

Prasad,

Reddy,

Datti

et al. 2023

Journal of South Asian Federation of Obstetrics and Gynaecology

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Aim: To describe a case of pregnancy with Bell's palsy in a preeclamptic woman Background: Preeclampsia is a common obstetric morbidity, which has been studied extensively, of which neurological problems are also well known. Facial nerve palsy is usually attributed to herpetic lesions or is autoimmune in nature. An interesting case of pregnancy with Bell's palsy in a preeclamptic woman is described here. Case description: A 20-year-old primigravida with 36 weeks gestational period, was referred to our tertiary care center in view of raised blood pressure. She had a history of cold and fever around 1½ months prior to this presentation, following which she developed weakness over left side of the face. The immediate reason for referral was the elevation of blood pressure to 150/100 mm Hg, development of proteinuria (+2 on dipstick), and ultrasound report that showed intrauterine growth restriction. She had received an injection of betamethasone 12 mg intramuscular prior to referral. Her neurological examination showed left-sided facial deviation, left-sided ptosis. In addition, tablet labetalol 100 mg twice a day was initiated. The ultrasound report showed fetal growth with an estimated fetal weight of 2260 g, amniotic fluid index of 6.7 cm, grade III maturity of placenta, and reduced cerebroplacental ratio (1.06). After the induction of labor, due to intrapartum monitoring showing fetal heart decelerations, an emergency lower segment cesarean section was performed. Conclusion: Though Bell's palsy is commonly reported to occur in the background of chronic hypertension and obesity, it can occur in an otherwise low-risk patient. Occurrence of Bell's palsy may be the precursor toward the development of a preeclamptic state. Clinical significance: Occurrence of Bell's palsy should raise the obstetrician's level of vigilance towards maternal/fetal surveillance.

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LMN Facial Palsy in Pregnancy: An Opportunity to Predict Preeclampsia—Report and Review

Cited by 7 publications

References 19 publications

The etiology of Bell’s palsy: a review

The etiology of Bell’s palsy: a review

Bell's Palsy: A Review

Pregnancy with Preeclampsia and Bell\'s Palsy: An Interesting Case

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