{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,28]],"date-time":"2025-11-28T17:22:54Z","timestamp":1764350574100,"version":"3.44.0"},"reference-count":17,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2020,8,1]],"date-time":"2020-08-01T00:00:00Z","timestamp":1596240000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/bmj.com\/coronavirus\/usage"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2020,7,13]]},"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:p>Acute facial nerve disease leading to peripheral facial paralysis is commonly associated with viral infections. COVID-19 may be a potential cause of peripheral facial paralysis and neurological symptoms could be the first and only manifestation of the disease. We report a case of a term pregnancy diagnosed with COVID-19 after presenting with isolated peripheral facial palsy.<\/jats:p>","DOI":"10.1136\/bcr-2020-237146","type":"journal-article","created":{"date-parts":[[2020,8,11]],"date-time":"2020-08-11T08:52:48Z","timestamp":1597135968000},"page":"e237146","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":39,"title":["Peripheral facial paralysis as presenting symptom of COVID-19 in a pregnant woman"],"prefix":"10.1136","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3203-7660","authenticated-orcid":false,"given":"Rita","family":"Figueiredo","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Centro Hospitalar de S\u00e3o Jo\u00e3o, EPE, Porto, Portugal"}]},{"given":"Vera","family":"Falc\u00e3o","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Centro Hospitalar de S\u00e3o Jo\u00e3o, EPE, Porto, Portugal"}]},{"given":"Maria Jo\u00e3o","family":"Pinto","sequence":"additional","affiliation":[{"name":"Department of Neurology, Centro Hospitalar de S\u00e3o Jo\u00e3o, EPE, Porto, Portugal"},{"name":"Department of Clinical Neurosciences and Mental Health, Faculdade de Medicina da Universidade do Porto, Porto, Portugal"}]},{"given":"Carla","family":"Ramalho","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Centro Hospitalar de S\u00e3o Jo\u00e3o, EPE, Porto, Portugal"},{"name":"Department of Obstetrics and Gynecology, Faculdade de Medicina da Universidade do Porto, Porto, Portugal"},{"name":"Instituto de Investiga\u00e7\u00e3o e Inova\u00e7\u00e3o em Sa\u00fade, i3S, Porto, Portugal"}]}],"member":"239","published-online":{"date-parts":[[2020,8,11]]},"reference":[{"key":"2025082708485084000_13.8.e237146.1","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1080\/000164802760370736","article-title":"Bell\u2019s Palsy: The Spontaneous Course of 2,500 Peripheral Facial Nerve Palsies of Different Etiologies","volume":"549","author":"Peitersen","year":"2002","journal-title":"Acta Otolaryngol Suppl"},{"key":"2025082708485084000_13.8.e237146.2","unstructured":"Guan WJ , ZY N , Hu Y , et al . Clinical characteristics of coronavirus disease 2019 in China. N Engl J Med 2020:1\u201313."},{"key":"2025082708485084000_13.8.e237146.3","doi-asserted-by":"publisher","DOI":"10.1212\/NXI.0000000000000741"},{"key":"2025082708485084000_13.8.e237146.4","article-title":"COVID-19 presenting with ophthalmoparesis from cranial nerve palsy","author":"Dinkin","year":"2020","journal-title":"Neurology"},{"key":"2025082708485084000_13.8.e237146.5","doi-asserted-by":"crossref","unstructured":"Wan Y , Cao S , Fang Q , et al . Coronavirus disease 2019 complicated with Bell\u2019s palsy: a case report. Res Sq 2020.","DOI":"10.21203\/rs.3.rs-23216\/v1"},{"key":"2025082708485084000_13.8.e237146.6","doi-asserted-by":"crossref","DOI":"10.1016\/j.clineuro.2020.105921","article-title":"Neurological manifestations of COVID-19 and other coronavirus infections: a systematic review","volume":"194","author":"Montalvan","year":"2020","journal-title":"Clin Neurol Neurosurg"},{"key":"2025082708485084000_13.8.e237146.7","doi-asserted-by":"crossref","DOI":"10.1001\/jamaneurol.2020.1127","article-title":"Neurologic manifestations of hospitalized patients with coronavirus disease 2019 in Wuhan, China","author":"Mao","year":"2020","journal-title":"JAMA Neurol"},{"key":"2025082708485084000_13.8.e237146.8","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1002\/jmv.25728","article-title":"The neuroinvasive potential of SARS-CoV2 may play a role in the respiratory failure of COVID-19 patients","volume":"92","author":"Li","year":"2020","journal-title":"J Med Virol"},{"key":"2025082708485084000_13.8.e237146.9","doi-asserted-by":"publisher","DOI":"10.1126\/science.abb2507"},{"key":"2025082708485084000_13.8.e237146.10","doi-asserted-by":"crossref","unstructured":"Walls AC , Park Y-J , Alejandra Tortorici M , et al . Structure, function, and antigenicity of the SARS. Cell 2020.","DOI":"10.1101\/2020.02.19.956581"},{"key":"2025082708485084000_13.8.e237146.11","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1177\/0194599820929185","article-title":"Olfactory dysfunction and sinonasal symptomatology in COVID-19: prevalence, severity, timing, and associated characteristics","volume":"163","author":"Speth","year":"2020","journal-title":"Otolaryngol Head Neck Surg"},{"key":"2025082708485084000_13.8.e237146.12","doi-asserted-by":"crossref","unstructured":"Bridwell R , Long B , Gottlieb M . Neurologic complications of COVID-19. Am J Emerg Med 2020.","DOI":"10.1016\/j.ajem.2020.05.024"},{"key":"2025082708485084000_13.8.e237146.13","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(20)30109-5"},{"key":"2025082708485084000_13.8.e237146.14","doi-asserted-by":"crossref","first-page":"1351","DOI":"10.1007\/s10072-020-04449-8","article-title":"Early Guillain-Barr\u00e9 syndrome in coronavirus disease 2019 (COVID-19): a case report from an Italian COVID-hospital","volume":"41","author":"Ottaviani","year":"2020","journal-title":"Neurol Sci"},{"key":"2025082708485084000_13.8.e237146.15","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2012.05.008"},{"key":"2025082708485084000_13.8.e237146.16","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1080\/01443615.2016.1256973","article-title":"Bell's facial nerve palsy in pregnancy: a clinical review","volume":"37","author":"Hussain","year":"2017","journal-title":"J Obstet Gynaecol"},{"key":"2025082708485084000_13.8.e237146.17","doi-asserted-by":"publisher","DOI":"10.1067\/mhn.2002.121321"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-237146","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T15:49:00Z","timestamp":1756309740000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-237146"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8]]},"references-count":17,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2020,8,11]]},"published-print":{"date-parts":[[2020,8]]}},"alternative-id":["10.1136\/bcr-2020-237146"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-237146","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2020,8]]}}}