Sindrom Mona Lisa
DOI:
https://doi.org/10.55175/cdk.v48i1.28Kata Kunci:
Bell’s palsy, kehamilan, nervus fasialis, post partumAbstrak
Pendahuluan: Sindrom Mona Lisa (SM) merupakan paralisis nervus fasialis idiopatik pada wanita hamil atau wanita post partum. SM sering terkait dengan hipertensi gestasional, superimposed preeklamsia, preeklamsia, dan sindrom HELLP. Faktor risiko independen SM adalah hipertensi kronik dan obesitas. Beberapa hipotesis patofisiologi SM meliputi: kondisi immunocompromised, reaktivasi virus herpes, edema interstisial yang memicu edema perineural dan kompresi nervus fasialis di kanal fasialis os temporal, dan hiperkoagulasi yang memicu trombosis pembuluh darah yang mensuplai nervus fasialis, Tanda dan gejala SM sama dengan Bell’s palsy (BP). Tatalaksana meliputi penggunaan tetes air mata artifisial atau penutup mata, kortikosteroid, dan/atau antiviral. Prognosis SM baik, khususnya pada kasus inkomplit.
Background: Mona Lisa Syndrome (MS) is an idiopathic facial nerve paralysis in pregnancy and post partum. MS is correlated to gestational hypertension, superimposed preeclamsia, preeclamsia, and HELLP syndrome.Independent risk factors are chronic hypertension and obesity. Several hypothesis on MS pathophysiology, including: immunocompromised status that lead to herpes virus reactivation, interstitial edema that lead to perineural edema and compressing facial nerve at the facial canal, and hypercoagulability status that lead to thrombosis in arteries supplying facial nerve. Signs and symptoms of MS are similar to Bell’s palsy. Prognosis of MS is good, especially in incomplete paralysis. MS treatment including artificial tears or eye patch, corticosteroid, and/or antiviral.
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Massey EW, Guidon AC. Peripheral neuropathies in pregnancy. Continuum (Minneap Minn). 2014;20(1):100-14.
Klein A. Peripheral nerve disease in pregnancy. Clin Obs & Gyn. 2013;56(2):382-8.
Hellebrand MC, Friebe-Hoffman U, Bender HG, Kojda G, Hoffman TK. Mona lisa syndrome: Idiopathic facial paralysis during pregnancy. Z Geburtshilfe Neonatol. 2006;210(4):126-34.
Atam V, Singh AS, Das L, Singh LS. Woe of pregnant females: The sductive mona lisa syndrome. J of Case Report. 2013;3(2):476-9.
Aditya V. LMN facial palsy in pregnancy: An opportunity to predict preeclampsia-report and review. Case Report in Obs and Gyn. 2014;DOI: 10.1155/2014/626871.
Cohen Y, Lavie O, Granovsky-Grisaru S, Aboulafia Y, Diamant YZ. Bell palsy complicating pregnancy: A review. Obstet Gynecol Surv. 2000;55(3):184-8.
Kunze M, Arndt S, Zimmer A, Foldi M, Hanjalic-Beck A, Echternach M, et al. Idiopathic facial palsy during pregnancy. HNO. 2012;60(2):98-101.
Hollingword T. “Bell’s palsy in pregnancy” dalam differential diagnosis in obstetric and gynaecology: an A-Z, 2nd Edition. New York: CRC Press; 2016. p. 25-9.
Kovo M, Sagi Y, Lampi Y, Golan A. Simultaneous bilateral bell’s palsy during pregnancy. J Matern Fetal Neonatal Med. 2009;22(12):1211-3.
Al-Husen H, Abou-Olim R, Alzbone A, Khreisat M, Al Rawashdeh B. Relationship between the onset of facial palsy during pregnancy and the development of gestational complications. JRMS. 2008;15(2):19-22.
Shmorgun D, Chan WS, Ray JG. Association between bell’s palsy in pregnancy and pre-eclampsia. Q J Med. 2002;95:359-62.
Pearce CF, Hansen WF. Headache and neurological disease in pregnancy. Clin Obstet Gynecol. 2012;55:810-28.
Gillman GS, Schaitkin BM, May M, Klein S. Bell’s palsy in pregnancy: A study of recovery outcomes. Otolaryngol Head Neck Surg. 2002;126:26-30.
Katz A, Sergienko R, Dior U, Wiznitzer A, Kaplan DM, Sheiner E. Bell’s palsy during pregnancy: Is it associated with adverse perinatal outcome? laryngoscope. 2011;121:1395-8.
Moore KL, Dalley AF, Agur AM. Clinically oriented anatomy, 6th Ed. USA: Lippincott Williams & Wilkins; 2006. p. 1068-9.
Tiemstra JD, Khatkhate N. Bell’s palsy: Diagnosis and management. Am Fam Physician. 2007;76:997-1002.
Mitran L, Mitran M, Safta D, Moisa MO, Marinescu. The impairment of facial nerve function during pregnancy, diagnostic and therapeutic protocol. Obstetric Gynecol. 2010;6(21):155-7.
Gowri V, Rao K. Bell’s palsy complicating pregnancy. Neurosciences. 2005;10(2):187-8.
Vrabec JT, Isaacson B, Van Hook JW. Bell’s palsy and pregnancy. Otolaryngol Head and Neck Surg. 2007;137:858-61.
Maloney WJ. Bell’s palsy: The answer to the riddle of Leonardo da Vinci’s “Mona Lisa”. J Dent Res. 2011;90:580-2.
Fawale MB, Owolabi MO, Ogunbode O. Bell’s palsy in pregnancy and the puerperium: A report of five cases. African J Med Med Sci. 2010;39(2):147-51.
Vogell A, Boelig RC, Skora J, Baxter JK. Bilateral bell palsy as a presenting sign of preeclamsia. Obstet Gynecol. 2014;124(2 Pt 2 Suppl 1):459-61.
Mathieu N, Ledigabel JE. Pre-eklamsia and facial paralysis. Gynecol Obstet Fertil. 2011;39(2):31-3.
Pourrat O, Neau JP, Pierre F. Bell’s palsy in pregnancy: Underlying HELLP syndrome or pre-eclampsia? Obstet Medic. 2013;6(3):132-3.
Yilmaz B, Yildirim B, Balikoglu-Yilmaz M, Ertas IE, Uysal IO, Kelekci S, et al. Mona lisa syndrome: A case report. J Case Obstet Gynecol. 2014;1(2):26-8.
Song I, Vong J, Yen NY, Diederich J, Yellowlees P. Profiling bell’s palsy based on House-Brackmann score. JAISCR. 2013;3(1):41-50.
Ferrera MAA, Lavor M, de Carvalho AC, Silva VG, Paschoal JR. Facial palsy and pregnancy: Management and treatment. Rev Bras Ginecol Obstet. 2013;35(8):368-72.
Mylonas I, Kastner R, Sattler C, Kainer F, Friese K. Idiopathic facial paralysis (bell’s palsy) in the immediate puerperium in a patient with mild preeclamsia: A case report. Arch Gynecol Obstet. 2005;272:241.
Madhok V, Falk G, Fahey T, Sullivan FM. Prescribe prednisolone alone for bell’s palsy diagnosed within 72 hours of symptom onset. BMJ. 2009;338(b255):410-411.
Charn TC, Subramaniam S, Yuen HW. Bell’s palsy in Singapore: A view from the patient’s perspective. Singapore Med J. 2013;54:82-5.
Kattie M, Phillips, Heiser A, Gauding R, Hadlock TA, Jowett N. Onset of bell’s palsy in late pregnancy and early puerperium is associated with worse long-term outcomes. Laryngoscope. 2017; DOI: 10.1002/lary.26569.
Rybak P, Rybak K, Rzepakowska A, Niemczyk K. Idiopatic facial nerve palsy in pregnancy – facts and myths. Polski Przegląd Otorynolaryngologiczny 2018;7(3):37-41.
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