LMN Facial Palsy in Pregnancy: An Opportunity to Predict Preeclampsia—Report and Review
Facial paralysis is the most frequent unilateral cranial nerve pathology affecting pregnant population 2 to 4 times more often than the nonpregnant population. There exists an association with preeclampsia but this has largely been overlooked. Clinicians often dismiss it for idiopathic palsy as seen...
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| Format: | Article |
| Language: | English |
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Wiley
2014-01-01
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| Series: | Case Reports in Obstetrics and Gynecology |
| Online Access: | http://dx.doi.org/10.1155/2014/626871 |
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| author | Vani Aditya |
| author_facet | Vani Aditya |
| author_sort | Vani Aditya |
| collection | DOAJ |
| description | Facial paralysis is the most frequent unilateral cranial nerve pathology affecting pregnant population 2 to 4 times more often than the nonpregnant population. There exists an association with preeclampsia but this has largely been overlooked. Clinicians often dismiss it for idiopathic palsy as seen in the present case. A 30-year-old woman, Gravida 4, Para 3, presented at 26 weeks pregnancy with complaints of facial weakness, blurring of vision, altered taste sensation, increased noise sensitivity for 1 month, headache since 18 days, and vomiting since 23 days. Her pulse was 90/min, BP was 170/120, and RR was 18/min. Uterus was 18 weeks size and proteinuria++ was present. Ultrasonography revealed a 26 weeks fetus, severe bradycardia, and absent liquor. HELLP syndrome was diagnosed after investigations. Six units of fresh frozen plasma were transfused. An informed decision for termination of pregnancy was made. She delivered a 450 gram stillborn. The third stage was complicated with postpartum hemorrhage but it was managed successfully. Women with Bell’s palsy during pregnancy should be evaluated critically as in some it may precede preeclampsia which has serious maternal and fetal implications. Therefore, these women should be in regular followup of the obstetrician. |
| format | Article |
| id | doaj-art-9afc2474a9df414a92f37572b2243fec |
| institution | Kabale University |
| issn | 2090-6684 2090-6692 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Obstetrics and Gynecology |
| spelling | doaj-art-9afc2474a9df414a92f37572b2243fec2025-02-03T05:57:58ZengWileyCase Reports in Obstetrics and Gynecology2090-66842090-66922014-01-01201410.1155/2014/626871626871LMN Facial Palsy in Pregnancy: An Opportunity to Predict Preeclampsia—Report and ReviewVani Aditya0Type-4/13, BRD Medical College, Gorakhpur, Uttar Pradesh 273013, IndiaFacial paralysis is the most frequent unilateral cranial nerve pathology affecting pregnant population 2 to 4 times more often than the nonpregnant population. There exists an association with preeclampsia but this has largely been overlooked. Clinicians often dismiss it for idiopathic palsy as seen in the present case. A 30-year-old woman, Gravida 4, Para 3, presented at 26 weeks pregnancy with complaints of facial weakness, blurring of vision, altered taste sensation, increased noise sensitivity for 1 month, headache since 18 days, and vomiting since 23 days. Her pulse was 90/min, BP was 170/120, and RR was 18/min. Uterus was 18 weeks size and proteinuria++ was present. Ultrasonography revealed a 26 weeks fetus, severe bradycardia, and absent liquor. HELLP syndrome was diagnosed after investigations. Six units of fresh frozen plasma were transfused. An informed decision for termination of pregnancy was made. She delivered a 450 gram stillborn. The third stage was complicated with postpartum hemorrhage but it was managed successfully. Women with Bell’s palsy during pregnancy should be evaluated critically as in some it may precede preeclampsia which has serious maternal and fetal implications. Therefore, these women should be in regular followup of the obstetrician.http://dx.doi.org/10.1155/2014/626871 |
| spellingShingle | Vani Aditya LMN Facial Palsy in Pregnancy: An Opportunity to Predict Preeclampsia—Report and Review Case Reports in Obstetrics and Gynecology |
| title | LMN Facial Palsy in Pregnancy: An Opportunity to Predict Preeclampsia—Report and Review |
| title_full | LMN Facial Palsy in Pregnancy: An Opportunity to Predict Preeclampsia—Report and Review |
| title_fullStr | LMN Facial Palsy in Pregnancy: An Opportunity to Predict Preeclampsia—Report and Review |
| title_full_unstemmed | LMN Facial Palsy in Pregnancy: An Opportunity to Predict Preeclampsia—Report and Review |
| title_short | LMN Facial Palsy in Pregnancy: An Opportunity to Predict Preeclampsia—Report and Review |
| title_sort | lmn facial palsy in pregnancy an opportunity to predict preeclampsia report and review |
| url | http://dx.doi.org/10.1155/2014/626871 |
| work_keys_str_mv | AT vaniaditya lmnfacialpalsyinpregnancyanopportunitytopredictpreeclampsiareportandreview |