Tuesday, June 2, 2009

OTOT TERJEJAS OLEH BELL'S PALSY

In my case I've complete paralysis of the right side muscle of the face.
Impulses from the peripheral nerve (of 7th cranial nerve) are not activating the muscles.
Yes, students... no activity at the neuromuscular junctions, no acetylcholine being released :(

Since in my case it is complete paralysis & onset is sudden, possibly the problem is at the site when the nerve has just started its journey out ipsilaterally before it even splits up to branches!

Due to the non-functioning on the right side, the left side which has normal muscle functions caused 'herot-ness syptoms' (tarik effect of sebelah yang baik & kuat).

Examples of the affected muscles are described below.
Info is taken from wikipedia (Adoi, what sort of referencing is this?)

1) Muscles around the eye : ORBICULARIS OCULI
http://en.wikipedia.org/wiki/File:Gray379.png
- Acts to close the eye & is the only muscle capable of doing so.
- Loss of function for any reason results in an inability to close the eye, necessitating eye drops at the minimum to removal of the eye in extreme cases.
- A lesion of the
facial nerve (e.g. seen in Bell's palsy) results in the inability to blink or close the ipsilateral eyelid. Subsequent lack of irrigation increases the risk of corneal inflammation & ulcers.

2) Muscles around the mouth : ORBICULARIS ORIS MUSCLE
http://en.wikipedia.org/wiki/File:Gray381.png
- One of the muscles used in the playing of all brass instruments and some woodwind instruments.
- This muscle closes the mouth & puckers the lips when it contracts.

- Loss of function disabled one to make the sound "BOO"

3) Other muscles affected -- everything else on the right side of the face :(

Normally, the feeling is that there's some sort of inflammation of the nerve.
It could actually be the whole nerve, just the membrane or the myelin?

Wallahu'alam!


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TIPS TEMUJANJI PERTAMA DI HOSPITAL

OOPPSS... I'VE MISTAKENLY DELETED THIS.