BELL’S PALSY

Yetty Hambarsari
Definision

Bell's palsy causes sudden

weakness in your facial muscles.

This makes half of your face

appear to droop.
Pathophysiology

The exact cause is unknown, but

it's believed to be the result of
swelling and inflammation of the
nerve that controls the muscles
on one side of your face.
It may be a reaction that occurs
after a viral infection.
- N. Facialis : mempersarafi otot berkedip, menutup
mata, mengerutkan dahi, tersenyum, lakrimasi dan
salivasi, m.stapedius dan sensasi pengecapan 2/3
anterior lidah.

- N. facialis menuju otot wajah masuk tulang temporalis

lewat MAI Kanalis falopi dan keluar for.
Stylemastoideus.

- Bagian sempit canalis falopi (lat MAI) .

- Inflamasi n. facialis pada saat lewat bag sempit Canalis
Falopi penekanan iskemik

MRI (enhancement n. VII)

Bell's palsy is temporary. Symptoms
usually start to improve within a few
weeks, with complete recovery in
about six months. sometimes it
continue to have Bell's palsy
symptoms for life. Rarely, Bell's palsy
can recur.
Cause
Although the exact reason Bell's palsy occurs isn't clear, it's
often linked to exposure to a viral infection.
 Cold sores and genital herpes (herpes simplex)
 Chickenpox and shingles (herpes zoster)
 Mononucleosis (Epstein-Barr)
 Cytomegalovirus infections
 Respiratory illnesses (adenovirus)
 German measles (rubella)
 Mumps (mumps virus)
 Flu (influenza B)
 Hand-foot-and-mouth disease (coxsackievirus
Sign and symptoms
 Rapid onset of mild weakness to total paralysis on
one side of your face — occurring within hours to
days —making it difficult to smile or close your eye
on the affected side
 Facial droop and difficulty making facial
expressions
 Pain around the jaw or in or behind your ear on the
affected side
 Increased sensitivity to sound on the affected side
 Headache
 A decrease in your ability to taste
 Changes in the amount of tears and saliva you
produce
Test and diagnosis
 There's no specific test for Bell's palsy. Your doctor will
look at your face and ask you to move your facial
muscles by closing your eyes, lifting your brow, showing
your teeth and frowning, among other movements.
 Lobaratorium examination : tdk rutin
 EMG
 CT scan and MRI :
- No improvement more than 1 month
- A decrease in sound
- The others weakness of nerve cranialis
- Weakness and sensibilitas disturb in extremity
Complicasion
Although a mild case of Bell's palsy normally disappears
within a month, recovery from a case involving total
paralysis varies. Complications may include:
 Irreversible damage to your facial nerve
 Misdirected regrowth of nerve fibers, resulting in
involuntary contraction of certain muscles when you're
trying to move others (synkinesis) — for example, when
you smile, the eye on the affected side may close
 Partial or complete blindness of the eye that won't close,
due to excessive dryness and scratching of the cornea,
the clear protective covering of the eye
 Crocodile tear : regenerasi saraf yg aberan yg menghub
duc lakrimalis dan gl salivatorius
 Spasme
Theraphy

 Perlindungan pada mata

 Kortikosteroid : prednisolon 1 mg/kgBB selama 7-10
hari tapp of
 Antivirus
 Fisioterapi : massase otot-otot wajah
 Bedah : dekompresi
Prognosis

Tanpa obat-obatan 10 hari – 3

minggu
Dengan obat-obatan sampai 9
bulan
30% kesempuhan tdk
sempurna