Leelawai Sumonthip, Sathirapanya Pornchai, Suwanrath Chitkasaem
Division of Neurology, Department of Internal Medicine, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand.
Department of Obstetrics and Gynecology, Faculty of Medicine, Prince of Songkla University, Hat Yai, Thailand.
Case Rep Neurol. 2020 Nov 26;12(3):452-459. doi: 10.1159/000509682. eCollection 2020 Sep-Dec.
The association between pregnancy-associated Bell's palsy (PABP) and gestational hypertension (GHT), preeclampsia (PE), and eclampsia (EC) remains inconclusive. We aimed to study the characteristics of PABP cases and the neonatal outcomes at our institution. All cases diagnosed with PABP from 2006 to 2016 were identified. Demographic and clinical characteristics including maternal age, previous medical and obstetric illnesses, gestational age at the onset of PABP, the development of PE/EC, GHT, gestational diabetes mellitus (GDM), treatment and outcomes, as well as neonatal health indices and anomalies were described. Eight patients with PABP were identified. Most of the cases were first- or second-gravidity pregnancies. PABP occurred during the third trimester except for one case in whom PABP developed 2 days postpartum. No PABP case associated with EC was found. PE was found in only one case in whom GHT occurred in a previous pregnancy. Moreover, GHT combined with GDM was found in a case with previous GHT. The recovery of PABP was satisfactory. Previous obstetric complications are associated with the current PE, GHT and GDM. Facial weakness recovers favorably regardless of treatment and the neonatal outcomes are overall satisfactory.
妊娠相关性贝尔麻痹（PABP）与妊娠期高血压（GHT）、子痫前期（PE）和子痫（EC）之间的关联尚无定论。我们旨在研究我院PABP病例的特征及新生儿结局。确定了2006年至2016年期间所有诊断为PABP的病例。描述了人口统计学和临床特征，包括产妇年龄、既往内科和产科疾病、PABP发病时的孕周、PE/EC、GHT、妊娠期糖尿病（GDM）的发生情况、治疗及结局，以及新生儿健康指标和异常情况。共确定8例PABP患者。大多数病例为初孕或经孕。除1例产后2天发生PABP外，PABP均发生在妊娠晚期。未发现与EC相关的PABP病例。仅1例患者发生PE，其既往妊娠时有GHT。此外，1例既往有GHT的患者合并GHT和GDM。PABP的恢复情况良好。既往产科并发症与当前的PE、GHT和GDM相关。无论治疗情况如何，面部无力均恢复良好，新生儿结局总体令人满意。
