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Re: facial numbness

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It's impossible to diagnose over the Web, but I wasn't impressed with

the original poster's symptoms as being Bell's Palsy.

But your point is well taken: a diagnosis by a physician, especially

to distinguish neurologic vs dermatologic problems and especially

during pregnancy, is important.

Marjorie

Marjorie Lazoff, MD

> Wow.

>

> It might be that you're experiencing Bell's Palsy. It

> occurs with more frequency in pregnancy that it does

> in the general population.

>

> I had it when I was 7.5 months pregnant and I have

> some very specific suggestions, which I'd be glad to

> share, but first you need to see a doctor (ASAP),

> because this shouldn't be self-diagnosed and it's not

> a dermatological problem.

>

> That said, I'll tell you what I know about Bell's

> because it may (or may not) help you describe what's

> happening to your doctor.

>

> Bell's Palsy usually occurs on one side of the face or

> the other. It is only very rarely bilateral (on both

> sides).

>

> There is debate about the cause in pregnancy -- some

> believe that is a matter of swelling crushing a nerve

> (like carpal tunnel syndrome in pregnancy), but a few

> years ago, a Japanese study found Herpes Simplex I

> (the virus that causes cold sores) in 7 of ten samples

> taken of the facial nerve in Bell's patients. This

> indicates that it might be a herpes infection of that

> nerve (it's facial nerve #7, I think, which enters the

> facial area through a tiny hole in the skull right in

> front of the ear...) As you probably know, many people

> carry different kinds of herpes viruses dormant in the

> their system until something triggers them... it

> appears pregnancy may do that for some people.

>

> Bell's has a couple of other indicators... often there

> is an unusual ear ache with pain right in front of the

> ear (on the same side as the numbness) and there may

> also be an altered sense of taste, including a funny

> metallic taste in the mouth (like sucking on a

> penny!).

>

> Continued numbness may lead to muscular paralysis in

> the face, including drooping muscles, inability to

> blink, control lips, etc. If treatment is sought right

> away, this is usually temporary.

>

> Bell's can, however, lead to permanent facial

> paralysis, so it's really important that you see your

> OB-GYN (right away!). Considering the fact you're

> pregnant, this is not a dermatological problem. Any

> sort of potential neurological problem in pregnancy

> should be checked out immediately.

>

>

> Suzi

>

> __________________________________________________

>

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