Patel Dharmesh J, Chaudhari Kamlesh, Shrivastava Deepti, Dave Apoorva
Department of Obstetrics and Gynaecology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.
Cureus. 2023 Dec 30;15(12):e51369. doi: 10.7759/cureus.51369. eCollection 2023 Dec.
Facial paralysis occurs more frequently in pregnant individuals, affecting them two to four times more often than those who are not pregnant, making it the most frequent unilateral cranial nerve pathology in pregnancy. This case report describes a 29-year-old primigravida's presentation, examination, and treatment of left-sided (unilateral) facial nerve palsy during 32 weeks of gestation. Concerns regarding possible underlying reasons were raised when the patient suddenly developed left-side facial weakness. We examined her history, clinical assessment, and diagnosis methods, which included laboratory and neuro-imaging tests. The difficulties of managing this illness during pregnancy are explored, taking into account the well-being of the developing fetus and mother. There are several causes for facial nerve palsy during pregnancy, including idiopathic causes, vascular problems, and viral infections. Here, we emphasize the value of a multidisciplinary approach comprising obstetricians, neurologists, and other medical professionals to guarantee the best possible care. The paper also underscores the necessity for prompt diagnosis and suitable interventions to reduce problems and foster a successful outcome. This case report adds to the limited literature on facial nerve palsy in pregnancy by highlighting individualized medical care and teamwork in addressing this uncommon but serious condition.
面瘫在孕妇中更为常见,其发病率比非孕妇高出两到四倍,使其成为孕期最常见的单侧颅神经病变。本病例报告描述了一名29岁初产妇在妊娠32周时左侧(单侧)面神经麻痹的表现、检查和治疗情况。当患者突然出现左侧面部无力时,引发了对可能潜在原因的担忧。我们检查了她的病史、临床评估以及诊断方法,其中包括实验室检查和神经影像学检查。考虑到发育中胎儿和母亲的健康,探讨了孕期管理这种疾病的困难。孕期面神经麻痹有多种原因,包括特发性原因、血管问题和病毒感染。在此,我们强调由产科医生、神经科医生和其他医学专业人员组成的多学科方法的价值,以确保提供尽可能最佳的护理。本文还强调了及时诊断和适当干预的必要性,以减少问题并促成成功的结果。本病例报告通过突出针对这种罕见但严重病症的个性化医疗护理和团队合作,为关于孕期面神经麻痹的有限文献增添了内容。