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Recurrent lower motor neurone facial paralysis in four successive pregnancies

Published online by Cambridge University Press:  29 June 2007

Babatunde A. Gbolade*
Affiliation:
Department of Obstetrics and Gynaecology, Queen's Park Hospital, Blackburn, Lanes, BB2 3HH.
*
Dr B. A. Gbolade,108 Lily Hill Street, Whitefield, Manchester M45 7SG. Fax: 061-796-8002.

Abstract

Recurrent lower motor neurone facial paralysis in successive pregnancies is a rare phenomenon of which there are few case reports in the literature. There have been two previous reports of recurrent Bell's palsy in two and three successive pregnancies respectively, but it is felt that these should have more appropriately been reported as recurrent lower motor neurone facial paralysis in pregnancy as, by definition, any facial paralysis that recurs should not be classified as Bell's palsy even though Bell himself commented on the association between facial paralysis and pregnancy. We report the first case of recurrent lower motor neurone facial paralysis in four successive pregnancies and review the literature.

Type
Clinical Records
Copyright
Copyright © JLO (1984) Limited 1994

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References

Abraham-Impijn, L., Devriese, P. P., Hart, A. A. (1982) Predisposing factors in Bell's palsy: a clinical study with reference to diabetes mellitus, hypertension, clotting mechanisms and lipid disturbance. Clinical Otolaryngology 7: 99105.CrossRefGoogle Scholar
Adour, K. K. (1975) The bell tolls for decompression? New England Journal of Medicine 292: 749.CrossRefGoogle ScholarPubMed
Adour, K. K., Bell, D. N., Hilsinger, R. L. Jr. (1975) Herpes simplex virus in idiopathic facial paralysis (Bell's palsy). Journal of American Medical Association 233: 527530.CrossRefGoogle Scholar
Anderson, F. D., Ushijima, R. N., Larson, C. L. (1974) Recurrent herpes genitalis. Treatment with Mycobacterium bovis (BCG). Obstetrics and Gynaecology 43: 797805.Google ScholarPubMed
Bell, C. (1830). The Nervous System of the Human Body,(Taylor, J., ed.), Longman, Rees, Orme, Brown, and Green, London, Appendex, pp iv–v.Google Scholar
Boddie, H. G. (1972) Recurrent Bell's palsy. Journal of Laryngology and Otology 86: 11171120.CrossRefGoogle ScholarPubMed
Deshpande, A. D. (1990) Recurrent Bell';s palsy in pregnancy. Journal of Laryngology and Otology 104: 713714.CrossRefGoogle ScholarPubMed
El-Ebiary, H. M. (1971) Facial paralysis: a clinical study of 580 cases. Rheumatology and Physiological Medicine 11: 100110.CrossRefGoogle ScholarPubMed
Falco, N. A., Eriksson, E. (1989) Idiopathic facial palsy in pregnancy and the puerperium. Surgery. Gynecoloqy and Obstetrics 169: 337340.Google Scholar
Gleicher, N., Siegel, I. (1980) The immunologic concept of EPHgestosis. Mount Sinai Journal of Medicine (NY) 47: 442453.Google ScholarPubMed
Hilsinger, R. L. Jr., Adour, K. K., Doty, H. E. (1975) Idiopathic facial paralysis, pregnancy and the menstrual cycle. Annals of Otology, Rhinology and Laryngology 84: 433442.CrossRefGoogle ScholarPubMed
Huizing, E. H., Mechelse, K., Staal, A. (1981) Treatment of Bell's palsy. An analysis of the available studies. Ada Otolaryngologica 92: 115121.CrossRefGoogle ScholarPubMed
Hulka, J. F., Mohr, K. (1969) Placental hormones and graft rejection. American Journal of Obstetrics and Gynaecology 104: 889892.CrossRefGoogle ScholarPubMed
Jenkins, D. M. (1977) Immunologic aspects of the pathogenesis of pregnancy hypertension. Clinics in Obstetrics and Gynaecology 4: 665684.CrossRefGoogle ScholarPubMed
Korczyn, A. D. (1971) Bell';s palsy and pregnancy. Ada Neurologica Scandinavica 47: 603607.CrossRefGoogle ScholarPubMed
McGregor, J. A., Guberman, A., Amer, J., Goodlin, R. (1987) Idiopathic facial nerve paralysis (Bell';s palsy) in late pregnancy and the early puerperium. Obstetrics and Gynecology 69: 435438.Google ScholarPubMed
Mamoli, B., Neuman, H., Ehrmann, L. (1977) Recurrent Bell's palsy. Etiology, frequency, prognosis. Journal of Neurology 216: 119125.CrossRefGoogle ScholarPubMed
Nobori, T, Ohyama, M., Ohno, S., Morikawa, K., Furuta, S. (1981) Pregnancy and Bell's palsy. Case reports and review of the literature. Nippon Jihiinkoka Gakkai Kaiho 84: 174178.CrossRefGoogle ScholarPubMed
Robinson, J. R., Pou, J. W. (1972) Bell's palsy. A predisposition of pregnant women. Archives of Otolaryngology 94: 125129.CrossRefGoogle Scholar
Wolf, S. M., Wagner, J. H. Jr., Davidson, S., Forsythe, A. (1977) Treatment of Bell's palsy with prednisone: a prospective, randomized study. Neurology 28: 158161.CrossRefGoogle Scholar
Yanagihara, N., Mori, H., Kozawa, T, Nakamura, K., Kita, M. (1984) Bell's palsy. Archives of Otolaryngology 110: 374377.CrossRefGoogle ScholarPubMed