Bell's facial nerve palsy in pregnancy: a clinical review. (19th May 2017)

• Record Type: Journal Article
• Authors: Hussain, Ahsen; Nduka, Charles; Moth, Philippa; Malhotra, Raman
• Is Part Of: Journal of obstetrics and gynaecology. Volume 37:Number 4(2017)
• Page Start: 409
• Page End: 415
• Publication Date: 2017-05-19
• Subjects: Pregnancy -- facial -- nerve -- palsy -- paralysis -- corticosteroid; Obstetrics -- Periodicals; Gynecology -- Periodicals; 618.05
• DOI: 10.1080/01443615.2016.1256973
• Languages: English
• ISSNs: 0144-3615

Abstract

Abstract: Bell's facial nerve palsy (FNP) during pregnancy and the puerperium can present significant challenges for the patient and clinician. Presentation and prognosis can be worse in this group of patients. This article reviews the background, manifestation and management options of FNP. In particular, it focuses on the controversies that exist regarding corticosteroid use during pregnancy and outlines approaches to diagnosis and treatment. Based on this review, we recommend an early evidence-based approach using guidelines derived from non-pregnant populations. This includes assessment for atypical causes, a multidisciplinary input and early introduction of corticosteroids to limit progression and improve prognosis.