Severe Preeclampsia with Bell’s Palsy in Pregnancy: A Rare Case Report
- Author Diani Nazma
- Co-Author Christian Soesilo, Lira Panduwaty, Karlina Mahardewi, Antin Trilaksmi
- DOI https://ww
- Country : Indonesia
- Subject : Anesthesiology
Keywords : bell’s palsy, preeclampsia, pregnancy.
Abstract
Introduction: Preeclampsia remains a challenging problem in pregnant mothers. Complications may arise with bell’s palsy being one of them. With Bells’ palsy, clinicians must be able to exclude acute stroke as a differential diagnosis and face the challenge of deciding the appropriate treatment regimen for the pregnant mother. Therefore, this case report presents a case of a pregnant patient with severe preeclampsia and Bell’s palsy.
Case Presentation: A 31-year-old G3P2A0 38-week gestation pregnant female patient presented with acute left-sided facial weakness. The patient had been diagnosed with severe preeclampsia and was receiving oral nifedipine. Physical examination was significant for elevated blood pressure of 161/96 mmHg and left facial asymmetry with forehead involvement indicating peripheral facial nerve palsy. Brain CT-scan showed mild edema at the bilateral subcortical parietooccipital region. Obstetric assessment showed viable term fetus without labor signs. Emergency cesarean section was performed with spinal anesthesia. Both the mother and the neonate had favorable outcome with no perioperative and postoperative complication.
Conclusion: Bell’s palsy in patients with severe preeclampsia presents a clinical challenge with multiple management considerations. Early diagnosis, particularly to exclude acute cerebrovascular disease, and timely management are crucial to ensure maternal safety and a favorable neonatal outcome.
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