Abstract
Involuntary contraction of one or more muscle groups during voluntary contraction of the muscle group innervated by different nerves or different peripheral branches of the same nerve is defined as synkinesia. Synkinesia is one of the most common long-term complications of facial paralysis. Marin Amat Syndrome is a rare type of synkinesis that occurs when the jaw is fully opened or the involuntary closure of the eyelids during lateral movement of the jaw. It has been suggested that aberrant regeneration of nerve 7 and incorrect innervation between nerves 5 and 7 may be responsible for this syndrome. In this case report, a 31-year-old male patient presented to our clinic with involuntary closure of the left eyelid during laughing and mouth opening-closing movements 1 year after a peripheral facial paralysis. Marin-Amat syndrome, a rare synkinesis, is important to remember in patients with involuntary closure of the eyelid with jaw opening or laughter after peripheral facial paralysis.
References
- 1. Rana PV, Wadia RS. TheMarin-Amatsyndrome: an unusualfacialsynkinesia. J NeurolNeurosurgPsychiatry 1985;2013:939-941
- 2. Jethani J. Marin-Amat syndrome: a rarefacialsynkinesis. J NeurolNeurosurgPsychiatry. 1985;48:939-941.
- 3. Pavone P, Garozzo R, Trifiletti RR, Parano E. Marin-Amatsyndrome: case report and review of the literature. J Child Neurol 1999;14:266-268.
- 4. García Ron A, Jensen J, GarrigaBraun C, Gómez E, Sierra J. Marin-Amat and inverted Marcus-Gunn syndrome. Two case reports. An Pediatr (Barc). 2011;74:324-326.
- 5. Lubkin V. The inverse Marcus Gunn phenomenon. An electromyographie contribution. Arch Neurol. 1978;35:249.
- 6. Davis G, Chen C, Selva D. Marcus Gunn syndrome. Eye (Lond) 2004;2013:88–90
- 7. Lai CS, Lu SR, Yang SF, et al. Surgical treatment of the synkinetic eyelid closure in Marin-Amat syndrome. Ann Plast Surg 2011;2013:498-501
Abstract
Farklı sinirler veya aynı sinirin farklı periferal dalları tarafından inerve edilen kas grubunun istemli kasılması sırasında eş zamanlı,bir veya daha fazla kas grubunun istemsiz kasılması sinkinezi olarak tanımlanır. Sinkinezi, fasiyal paralizinin uzun vadeli ve en sık komplikasyonlardan biridir.Marin Amat Sendromu çenenin tamamen açılması veya çenenin laterale doğru hareketi sırasında göz kapaklarının istemsiz kapanması şeklinde ortaya çıkan nadir görülen bir sinkinezi çeşididir. 7. sinirin aberan rejenerasyonu ve 5 ve 7. sinirler arasındaki hatalı inervasyonun bu sendromdan sorumlu olabileceği ileri sürülmüştür.Bu olgu sunumunda 31 yaşında erkek hasta geçirilmiş periferik fasiyal paraliziden 1 yıl sonra gülme ve ağız açma-kapama hareketleri sırasında sol göz kapağında istemsiz kapanma yakınması ile kliniğimize başvuran , Marin Amat Sendromu düşünülerek botilismus toksin A uygulanan bir vaka sunulmaktadır. Nadir görülen bir sinkinezi olan Marin-Amat sendromunun periferik fasiyal paralizi sonrası gelişen çenenin açılması veya gülme ile birlikte göz kapağında istemsiz kapanma semptomu olan hastalarda akla gelmesi önemlidir.
References
- 1. Rana PV, Wadia RS. TheMarin-Amatsyndrome: an unusualfacialsynkinesia. J NeurolNeurosurgPsychiatry 1985;2013:939-941
- 2. Jethani J. Marin-Amat syndrome: a rarefacialsynkinesis. J NeurolNeurosurgPsychiatry. 1985;48:939-941.
- 3. Pavone P, Garozzo R, Trifiletti RR, Parano E. Marin-Amatsyndrome: case report and review of the literature. J Child Neurol 1999;14:266-268.
- 4. García Ron A, Jensen J, GarrigaBraun C, Gómez E, Sierra J. Marin-Amat and inverted Marcus-Gunn syndrome. Two case reports. An Pediatr (Barc). 2011;74:324-326.
- 5. Lubkin V. The inverse Marcus Gunn phenomenon. An electromyographie contribution. Arch Neurol. 1978;35:249.
- 6. Davis G, Chen C, Selva D. Marcus Gunn syndrome. Eye (Lond) 2004;2013:88–90
- 7. Lai CS, Lu SR, Yang SF, et al. Surgical treatment of the synkinetic eyelid closure in Marin-Amat syndrome. Ann Plast Surg 2011;2013:498-501
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Neurology and Neuromuscular Diseases |
| Journal Section | Case Report |
| Authors | |
| Publication Date | September 18, 2020 |
| Submission Date | January 28, 2020 |
| Acceptance Date | May 5, 2020 |
| Published in Issue | Year 2020 Volume: 13 Issue: 3 |
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