Suat KAMIŞLI, Muhammet Gökhan Turtay, Şükrü Gürbüz, Taner Güven, Hakan Oğuztürk

Acil Servise Başvuran Gebede Bilateral Periferik Fasiyal Paralizi: Guillain Barre Sendromu

Acil Serviste tek taraflı periferik fasiyal sinir paralizisi sık görülmektedir, fakat bilateral fasiyal sinir paralizisi (BFP) nadir görülür. Bilateral fasiyal sinir paralizisinin en yaygın nedenleri; Guillain Barre sendromu, lyme hastalığı, Bell paralizisi, kafatası fraktürü, moebius, multipl skleroz, enfeksiyoz mononükleozdur. Guillain Barre sendromu akut enfeksiyonla ilişkili demiyelizan bir polinöropatidir. Hastaların büyük çoğunluğu simetrik kas güçsüzlüğü ve arefleksi ile başvururlar. Klinik bulgular, lumbal ponksiyon ve/veya elektrotanısal testler ile desteklenerek Guillain Barre sendromu tanısı konur. Gebelikte nadir görülen bir hastalıktır. Tedavide gama globulin ya da plasma exchange uygulanır. Bu yazıda, bilateral periferik fasiyal sinir paralizi ile başvuran ve Guillain Barre tanısı konulan, 20 haftalık gebe vakası sunulmuştur.

Bilateral Peripheral Facial Paralysis in a Pregnant Patient Admitted to Emergency Service: A case of Guillain-Barre Syndrome

Unilateral facial paralysis is frequently seen in emergency services but bilateral facialparalysis (BFP) is rare. The most common causes of bilateral facial paralysis are GullianBarre syndrome, lyme disease, Bell paralysis, skull fracture, moebius, multiple sclerosis,and infectious mononucleosis. Gullian Barre Syndrome is a demyelinatingpolyneuropathy which is associated with acute infection. The majority of cases presentwith symmetric muscle weakness and areflexia. Gullian Barre Syndrome can bediagnosed by clinical findings together with lumbar puncture and/or electrodiagnosticresults. It is a rare disease in pregnancy. Plasma exchange or gamma globulin treatmentis the preferred treatment. In this report, we present the case of a 20-week pregnantwoman who presented with bilateral facial paralysis and was eventually diagnosed withGullian Barre syndrome.

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