Facial paralysis menstrual cycle

Introduction : Idiopathic peripheral facial palsy is the most common and frequent unilateral cranial neurological disorder characterized by an isolated facial nerve paralysis. Discussion : Every gynaecologist and obstetrician should be aware of this quite uncommon complication during pregnancy and the puerperium. For these women, a maternal surveillance can be recommended. A fast and accurate diagnosis with a subsequent immediate treatment might be very important in avoiding worsening of the symptoms and therefore improve the recovery prognosis. This is a preview of subscription content, access via your institution.
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19.09.2020
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Idiopathic facial paralysis, pregnancy, and the menstrual cycle

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

It may affect women of childbearing age. Lifestyle changes and sometimes medicines can help manage symptoms. The exact cause of PMDD is not known.
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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 No causative relation was found between toxemia, hypertension or primigravidity, and Bell's palsy. No clear evidence for an etiologic relationship was seen with edema or hormonal changes in either pregnancy or the menstrual cycle.
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