सार
The incidence of idiopathic facial nerve palsy is higher during pregnancy and the puerperium than in nonpregnant women of childbearing age. An important association also exists between Bell’s palsy and hypertensive disorders of pregnancy. We describe three patients with idiopathic facial nerve palsy in pregnancy and two in the puerperium. Two of these were associated with hypertensive disorder of pregnancy. This case report illustrates the fact that Bell’s palsy is common in pregnancy and in the peurperium and often associated with hypertensive disorders of pregnancy.
Keywords: Bell’s palsy, puerperium, pregnancy, hypertensive, disorders.
Résumé
L’incidence de la paralysie du nerf facial est très élevée pendant la grossesse et en puerperium que les femmes qui ne sont pas enceintes à l’âge adulte. Une association importante existe entre la paralysie de Bell et les désordres d’hypertension en grossesse. Nous décrivons trios patients ayant une paralysie du nerf facial en grossesse et deux en état de puerperium. Deux cas étaient associes avec les désordres d’hypertension en grossesse. Ce rapport illustre le fait que la paralysie de Bell est commun en grossesse et en état de puerperium et souvent associes avec des désordres d’hypertension. Paper presented at the 39th Annual general and Scientific meeting of the Nigerian Society of Neurological Sciences: Ibadan, Nigeria. March 26-29, 2008
Correspondence: Dr. M.B. Fawale, Department of Medicine, Federal Medical Centre, PMB 201, Ido Ekiti, Ekiti State,Nigeria.
##submission.citations##
Lange DL, Trojaborg W and Rowland LP. Peripheral and Cranial Nerve Lesions. In: Houston H, Rowland LP, Rowland R, editors. Merritt’s neurology. 10th ed. Baltimore: Lippincott Williams & Wilkins; 2000.p. 338-352.
Holland NJ and Weiner GM. Recent developments in Bell’s palsy. BMJ 2004; 329 (7465):553-557.
Shapiro JL, Yudin MH and Ray JG. Bell’s palsy and tinnitus during pregnancy: predictors of pre-eclampsia? Three cases and a detailed review of the literature. Acta Otolaryngol 1999;119(6):647-651.
Hellebrand MC, Friebe-Hoffmann U, Bender HG, Kojda G and Hoffmann TK. Mona Lisa syndrome: idiopathic facial paralysis during pregnancy. Z Geburtshilfe Neonatol 2006; 210 (4): 126-134.
Gillman GS, Schaitkin BM, May M and Klein SR. Bell’s palsy in pregnancy: a study of recovery outcomes. Otolaryngol Head Neck Surg 2002; 126 (1): 26-30.
Sullivan FM, Swan IRC, Donnan PT, Morrison JM, Smith GH, McKinstry B, et al. Early Treatment with Prednisolone or Acyclovir in Bell’s Palsy. N Engl J Med 2007; 357: 1598-1607.
Gilden DH. Bell’s palsy. N Engl J Med 2004;351:1323-1331.
Tiemstra JD and Khatkhate N. Bell’s Palsy: Diagnosis and Management. Am Fam Physician 2007;76:997-1002, 1004
Keane JR. Bilateral seventh nerve palsy: analysis of 43 cases and review of the literature. Neurology 1994;44:1198-1202.
English JB, Stommel EW and Bernat JL. Recurrent Bell’s palsy. Neurology 1996;47(2): 604-605
Ahmed A. When is facial paralysis Bell palsy? Current diagnosis and treatment. Cleve Clin J Med 2005; 72 (5): 398-401, 405.
Nowak DA, Linder S and Topka H. Diagnostic relevance of transcranial magnetic and electric stimulation of the facial nerve in the management of facial palsy. Clin Neurophysiol. 2005; 116(9): 2051-2057.
Kim IS, Shin S, Kim J, Lee W and Lee H. Correlation between MRI and Operative Findings in Bell’s Palsy and Ramsay Hunt Syndrome. Yonsei Med J. 2007;48(6):963-968.
Alberton DL and Zed PJ. Bell’s palsy: A review of treatment using antiviral agents. Ann Pharmacother. 2006; 40 (10): 1838-1842.
Hato N, Yamada H, Kohno H, et al. Valacyclovir and prednisolone treatment for Bell’s palsy: a multicenter, randomized, placebo-controlled study. Otol Neurotol. 2007; 28: 408-413.
Sawle G V and Ramsay M. The neurology of pregnancy. J Neurol Neurosurg Psychiatry 1998; 64: 717-725.
Joint Formulary Committee. British National Formulary. 54 ed. London: British Medical Association and Royal Pharmaceutical Society of Great Britain; 2007. p. 378-379.
Vrabec JT, Isaacson B and Van Hook JW. Bell’s palsy and pregnancy. Otolaryngol Head Neck Surg 2007;137(6):858-861
Holland J. Bell’s palsy. In: BMJ Clinical Evidence. London, UK: BMJ Publishing Group; February 2007.
He L, Zhou MK, Zhou D, et al. Acupuncture for Bell’s palsy. Cochrane Database Syst Rev. 2007; (1) :CD002914.
Hailey D. Hyperbaric oxygen therapy - recent findings on evidence for its effectiveness. Information Paper. IP 13. Edmonton, AB: Alberta Heritage Foundation for Medical Research (AHFMR); March 2003.
Chepeha DB, Yoo J, Birt C, et al. Prospective evaluation of eyelid function with gold weight implant and lower eyelid shortening for facial paralysis. Arch Otolaryngol Head Neck Surg 2001; 127(3): 299-303.
Brach JS, VanSwearingen JM, Lenert J and Johnson PC. Facial neuromuscular retraining for oral synkinesis. Plast Reconstr Surg 1997;99(7):1922-31; discussion 1932-1933.
Cederwall E, Olsen MF, Hanner P and Fogdestam I. Evaluation of a physiotherapeutic treatment intervention in ‘Bell’s’ facial palsy. Physiother Theory Pract 2006; 22 (1): 43-52.
Cardoso JR, Teixeira EC, Moreira MD, et al. Effects of exercises on Bell’s palsy: Systematic review of randomized controlled trials. Otol Neurotol 2008; 29(4): 557-560.
Couson SE, Croxon GR, Adams RD and O’Dwyer NJ. Reliability of the “Sydney,” “Sunnybrook,” and “House Brackmann” facial grading systems to assess voluntary movement and synkinesis after facial nerve paralysis. Otolaryngol Head Neck Surg 2005;132: 543-549.