Management of Oromandibular Dystonia: A Case Report and Literature Update
Identifieur interne : 000161 ( Pmc/Checkpoint ); précédent : 000160; suivant : 000162Management of Oromandibular Dystonia: A Case Report and Literature Update
Auteurs : Suma Gn [Inde] ; Adrita Nag [Inde]Source :
- Case Reports in Dentistry [ 2090-6447 ] ; 2017.
Abstract
Oromandibular dystonia (OMD) is a movement disorder characterized by involuntary, paroxysmal, and patterned muscle contractions of varying severity resulting in sustained spasms of masticatory muscles, affecting the jaws, tongue, face, and pharynx. It is most commonly idiopathic or medication-induced, but peripheral trauma sometimes precedes the condition. We present a case report of a 26-year-old female patient who suffered repetitive bouts of hemifacial muscle contractions for 2 years on closing the mouth which interfered in patient's well-being and quality of life by hampering her ability to eat and talk and to the extent of inability to breath due to contractions of her neck muscles. Prompt diagnosis of a chronic oromandibular dystonia jaw closing type led to the control of the spasmodic muscle contractions within 24 hours and alleviation of patients fear of morbidity.
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DOI: 10.1155/2017/3514393
PubMed: 28706744
PubMed Central: 5494560
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Management of Oromandibular Dystonia: A Case Report and Literature Update</title><author><name sortKey="Gn, Suma" sort="Gn, Suma" uniqKey="Gn S" first="Suma" last="Gn">Suma Gn</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Oral Medicine & Radiology, SGT Dental College, Hospital and Research Institute, Gurgaon, Haryana 122505, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral Medicine & Radiology, SGT Dental College, Hospital and Research Institute, Gurgaon, Haryana 122505</wicri:regionArea><wicri:noRegion>Haryana 122505</wicri:noRegion></affiliation></author><author><name sortKey="Nag, Adrita" sort="Nag, Adrita" uniqKey="Nag A" first="Adrita" last="Nag">Adrita Nag</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Oral Medicine and Radiology, Faculty of Dental Sciences, SGT Dental College, Hospital and Research Institute, Gurgaon, Haryana 122505, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral Medicine and Radiology, Faculty of Dental Sciences, SGT Dental College, Hospital and Research Institute, Gurgaon, Haryana 122505</wicri:regionArea><wicri:noRegion>Haryana 122505</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">28706744</idno><idno type="pmc">5494560</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5494560</idno><idno type="RBID">PMC:5494560</idno><idno type="doi">10.1155/2017/3514393</idno><date when="2017">2017</date><idno type="wicri:Area/Pmc/Corpus">001B55</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001B55</idno><idno type="wicri:Area/Pmc/Curation">001B55</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">001B55</idno><idno type="wicri:Area/Pmc/Checkpoint">000161</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Checkpoint">000161</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Management of Oromandibular Dystonia: A Case Report and Literature Update</title><author><name sortKey="Gn, Suma" sort="Gn, Suma" uniqKey="Gn S" first="Suma" last="Gn">Suma Gn</name><affiliation wicri:level="1"><nlm:aff id="I1">Department of Oral Medicine & Radiology, SGT Dental College, Hospital and Research Institute, Gurgaon, Haryana 122505, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral Medicine & Radiology, SGT Dental College, Hospital and Research Institute, Gurgaon, Haryana 122505</wicri:regionArea><wicri:noRegion>Haryana 122505</wicri:noRegion></affiliation></author><author><name sortKey="Nag, Adrita" sort="Nag, Adrita" uniqKey="Nag A" first="Adrita" last="Nag">Adrita Nag</name><affiliation wicri:level="1"><nlm:aff id="I2">Department of Oral Medicine and Radiology, Faculty of Dental Sciences, SGT Dental College, Hospital and Research Institute, Gurgaon, Haryana 122505, India</nlm:aff><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Oral Medicine and Radiology, Faculty of Dental Sciences, SGT Dental College, Hospital and Research Institute, Gurgaon, Haryana 122505</wicri:regionArea><wicri:noRegion>Haryana 122505</wicri:noRegion></affiliation></author></analytic><series><title level="j">Case Reports in Dentistry</title><idno type="ISSN">2090-6447</idno><idno type="eISSN">2090-6455</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Oromandibular dystonia (OMD) is a movement disorder characterized by involuntary, paroxysmal, and patterned muscle contractions of varying severity resulting in sustained spasms of masticatory muscles, affecting the jaws, tongue, face, and pharynx. It is most commonly idiopathic or medication-induced, but peripheral trauma sometimes precedes the condition. We present a case report of a 26-year-old female patient who suffered repetitive bouts of hemifacial muscle contractions for 2 years on closing the mouth which interfered in patient's well-being and quality of life by hampering her ability to eat and talk and to the extent of inability to breath due to contractions of her neck muscles. Prompt diagnosis of a chronic oromandibular dystonia jaw closing type led to the control of the spasmodic muscle contractions within 24 hours and alleviation of patients fear of morbidity.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Nutt, J G" uniqKey="Nutt J">J. G. Nutt</name></author><author><name sortKey="Muenter, M D" uniqKey="Muenter M">M. D. Muenter</name></author><author><name sortKey="Aronson, A" uniqKey="Aronson A">A. Aronson</name></author><author><name sortKey="Kurland, L T" uniqKey="Kurland L">L. T. Kurland</name></author><author><name sortKey="Melton Iii, L J" uniqKey="Melton Iii L">L. J. Melton III</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Thompson, P D" uniqKey="Thompson P">P. D. Thompson</name></author><author><name sortKey="Obeso, J A" uniqKey="Obeso J">J. A. Obeso</name></author><author><name sortKey="Delgado, G" uniqKey="Delgado G">G. Delgado</name></author><author><name sortKey="Gallego, J" uniqKey="Gallego J">J. Gallego</name></author><author><name sortKey="Marsden, C D" uniqKey="Marsden C">C. D. Marsden</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Jang, S" uniqKey="Jang S">S. Jang</name></author><author><name sortKey="Cho, Y" uniqKey="Cho Y">Y. Cho</name></author><author><name sortKey="Sung, I" uniqKey="Sung I">I. Sung</name></author><author><name sortKey="Kim, S" uniqKey="Kim S">S. Kim</name></author><author><name sortKey="Son, J" uniqKey="Son J">J. Son</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Fotedar, S" uniqKey="Fotedar S">S. Fotedar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Lee, K H" uniqKey="Lee K">K. H. Lee</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Albanese, A" uniqKey="Albanese A">A. Albanese</name></author><author><name sortKey="Barnes, M P" uniqKey="Barnes M">M. P. Barnes</name></author><author><name sortKey="Bhatia, K P" uniqKey="Bhatia K">K. P. Bhatia</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Tutar, Y" uniqKey="Tutar Y">Y. Tutar</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Burke, R E" uniqKey="Burke R">R. E. Burke</name></author><author><name sortKey="Fahn, S" uniqKey="Fahn S">S. 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Factor</name></author><author><name sortKey="Brin, M" uniqKey="Brin M">M. Brin</name></author><author><name sortKey="Sethi, K D" uniqKey="Sethi K">K. D. Sethi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Sankhla, C" uniqKey="Sankhla C">C. Sankhla</name></author><author><name sortKey="Lai, E C" uniqKey="Lai E">E. C. Lai</name></author><author><name sortKey="Jankovic, J" uniqKey="Jankovic J">J. Jankovic</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Maestre Ferrin, L" uniqKey="Maestre Ferrin L">L. Maestre-Ferrín</name></author><author><name sortKey="Burguera, J A" uniqKey="Burguera J">J.-A. Burguera</name></author><author><name sortKey="Pe Arrocha Diago, M" uniqKey="Pe Arrocha Diago M">M. Peñarrocha-Diago</name></author><author><name sortKey="Pe Arrocha Diago, M" uniqKey="Pe Arrocha Diago M">M. Peñarrocha-Diago</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hamzei, F" uniqKey="Hamzei F">F. Hamzei</name></author><author><name sortKey="Rijntjes, M" uniqKey="Rijntjes M">M. Rijntjes</name></author><author><name sortKey="Gbadamosi, J" uniqKey="Gbadamosi J">J. Gbadamosi</name></author><author><name sortKey="Fuchs, K" uniqKey="Fuchs K">K. Fuchs</name></author><author><name sortKey="Weiller, C" uniqKey="Weiller C">C. Weiller</name></author><author><name sortKey="Munchau, A" uniqKey="Munchau A">A. Münchau</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="case-report"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Case Rep Dent</journal-id><journal-id journal-id-type="iso-abbrev">Case Rep Dent</journal-id><journal-id journal-id-type="publisher-id">CRID</journal-id><journal-title-group><journal-title>Case Reports in Dentistry</journal-title></journal-title-group><issn pub-type="ppub">2090-6447</issn><issn pub-type="epub">2090-6455</issn><publisher><publisher-name>Hindawi</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">28706744</article-id><article-id pub-id-type="pmc">5494560</article-id><article-id pub-id-type="doi">10.1155/2017/3514393</article-id><article-categories><subj-group subj-group-type="heading"><subject>Case Report</subject></subj-group></article-categories><title-group><article-title>Management of Oromandibular Dystonia: A Case Report and Literature Update</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Gn</surname><given-names>Suma</given-names></name><xref ref-type="aff" rid="I1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0003-1579-0351</contrib-id><name><surname>Nag</surname><given-names>Adrita</given-names></name><xref ref-type="aff" rid="I2"><sup>2</sup></xref><xref ref-type="corresp" rid="cor1"><sup>*</sup></xref></contrib></contrib-group><aff id="I1"><sup>1</sup>Department of Oral Medicine & Radiology, SGT Dental College, Hospital and Research Institute, Gurgaon, Haryana 122505, India</aff><aff id="I2"><sup>2</sup>Department of Oral Medicine and Radiology, Faculty of Dental Sciences, SGT Dental College, Hospital and Research Institute, Gurgaon, Haryana 122505, India</aff><author-notes><corresp id="cor1">*Adrita Nag: <email>amdradrita@gmail.com</email></corresp><fn fn-type="other"><p>Academic Editor: Kai-Yuan Fu</p></fn></author-notes><pub-date pub-type="ppub"><year>2017</year></pub-date><pub-date pub-type="epub"><day>19</day><month>6</month><year>2017</year></pub-date><volume>2017</volume><elocation-id>3514393</elocation-id><history><date date-type="received"><day>29</day><month>1</month><year>2017</year></date><date date-type="accepted"><day>3</day><month>4</month><year>2017</year></date></history><permissions><copyright-statement>Copyright © 2017 Suma Gn and Adrita Nag.</copyright-statement><copyright-year>2017</copyright-year><license xlink:href="https://creativecommons.org/licenses/by/4.0/"><license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><p>Oromandibular dystonia (OMD) is a movement disorder characterized by involuntary, paroxysmal, and patterned muscle contractions of varying severity resulting in sustained spasms of masticatory muscles, affecting the jaws, tongue, face, and pharynx. It is most commonly idiopathic or medication-induced, but peripheral trauma sometimes precedes the condition. We present a case report of a 26-year-old female patient who suffered repetitive bouts of hemifacial muscle contractions for 2 years on closing the mouth which interfered in patient's well-being and quality of life by hampering her ability to eat and talk and to the extent of inability to breath due to contractions of her neck muscles. Prompt diagnosis of a chronic oromandibular dystonia jaw closing type led to the control of the spasmodic muscle contractions within 24 hours and alleviation of patients fear of morbidity.</p></abstract></article-meta></front><floats-group><fig id="fig1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>TMJ tomographic views which revealed an excessive anterior movement of the condyle on open mouth position.</p></caption><graphic xlink:href="CRID2017-3514393.001"></graphic></fig><fig id="fig2" orientation="portrait" position="float"><label>Figure 2</label><caption><p>MRI brain scan reveals no focal pathology.</p></caption><graphic xlink:href="CRID2017-3514393.002"></graphic></fig><fig id="fig3" orientation="portrait" position="float"><label>Figure 3</label><caption><p>Electromyographic study of the bilateral temporalis and masseter reveals spontaneous fasciculations at rest.</p></caption><graphic xlink:href="CRID2017-3514393.003"></graphic></fig><fig id="fig4" orientation="portrait" position="float"><label>Figure 4</label><caption><p>Follow-up visits at six-month period revealed complete absence of the dystonic contractions.</p></caption><graphic xlink:href="CRID2017-3514393.004"></graphic></fig><fig id="fig5" orientation="portrait" position="float"><label>Figure 5</label><caption><p>At 12-month recall, patient reports complete absence of dystonic movements with improved quality of life assessment with a maintenance dose of carbamazepine of half tablet at night time only. Patient reports to have been leading her normal life and was visibly happy during the checkup visit. However a marked bulge is still apparent on her right half of forehead region which could be due to the muscular hyperactivity with probable hypertrophy in the involved muscle, a feature which has not been reported in the previous reported literature.</p></caption><graphic xlink:href="CRID2017-3514393.005"></graphic></fig><fig id="fig6" orientation="portrait" position="float"><label>Figure 6</label><caption><p>Classification of oromandibular dystonia based on etiology.</p></caption><graphic xlink:href="CRID2017-3514393.006"></graphic></fig><fig id="fig7" orientation="portrait" position="float"><label>Figure 7</label><caption><p>Etiology of Oromandibular Dystonia.</p></caption><graphic xlink:href="CRID2017-3514393.007"></graphic></fig><fig id="fig8" orientation="portrait" position="float"><label>Figure 8</label><caption><p>Mechanism of action of botulinum toxin.</p></caption><graphic xlink:href="CRID2017-3514393.008"></graphic></fig><table-wrap id="tab1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Clinical features and investigations in the diagnostic work-up of the case.</p></caption><table frame="hsides" rules="groups"><thead><tr><th align="left" rowspan="1" colspan="1">Sl. number</th><th align="center" rowspan="1" colspan="1">Age</th><th align="center" rowspan="1" colspan="1">Clinical features</th><th align="center" rowspan="1" colspan="1">History</th><th align="center" rowspan="1" colspan="1">Investigations</th><th align="center" rowspan="1" colspan="1">Diagnosis</th><th align="center" rowspan="1" colspan="1">Treatment and follow-up</th></tr></thead><tbody><tr><td align="left" rowspan="1" colspan="1">1</td><td align="center" rowspan="1" colspan="1">27/F</td><td align="center" rowspan="1" colspan="1">Spontaneous, intermittent, unilateral paroxysmal, severely painful involuntary spasmodic contractions; spasms internally leading to difficulty in breathing</td><td align="center" rowspan="1" colspan="1">No relevant family history</td><td align="center" rowspan="1" colspan="1">TMJ tomographic projections, electromyography (pre- and posttreatment evaluation), CT brain,<break></break>Blood investigations</td><td align="center" rowspan="1" colspan="1">OMD<break></break>(jaw closing type, primary dystonia)</td><td align="center" rowspan="1" colspan="1">Carbamazepine BD dose with 1, 3, 6, 9 months' follow-up with patient testimony</td></tr></tbody></table></table-wrap></floats-group></pmc><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Gn, Suma" sort="Gn, Suma" uniqKey="Gn S" first="Suma" last="Gn">Suma Gn</name></noRegion><name sortKey="Nag, Adrita" sort="Nag, Adrita" uniqKey="Nag A" first="Adrita" last="Nag">Adrita Nag</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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