Movement Disorders (revue)

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Chewing pattern in patients with Meige's syndrome

Identifieur interne : 000A75 ( Istex/Corpus ); précédent : 000A74; suivant : 000A76

Chewing pattern in patients with Meige's syndrome

Auteurs : Marcello M. Mascia ; Josep Valls-Solé ; Maria J. Martí ; Sergio Sanz

Source :

RBID : ISTEX:B993D5A6CD237C8F626CF8442BCF0154ED58C32F

English descriptors

Abstract

Meige's syndrome presents with a combination of upper and lower facial motor dysfunction, including eye closing spasms and oromandibular dystonia. While the pathophysiology of eye closing spasms has been extensively studied using the blink reflex and other trigeminofacial reflexes, very few studies have been carried out with regard to the abnormal perioral movements. We hypothesized that action‐related dystonic features could be revealed by the analysis of the semiautomatic rhythmic movements required for chewing and swallowing. A total of 7 patients with Meige's syndrome that complained of chewing problems and 7 age‐matched healthy volunteers were studied. Subjects were instructed to munch and swallow a small muffin while surface electromyographic (EMG) activity of masseter (MAS) and orbicularis oris (OOr) of the dominant side was recorded. In healthy subjects, MAS and OOr showed a rhythmic alternating phasic EMG pattern during chewing, which changed to a tonic cocontraction of both muscles during swallowing. Mean duration of MAS and OOr EMG bursts was, respectively, 297 ± 28 msec and 328 ± 29 msec. Patients exhibited the following alterations: excess duration of muscle activity, frequent cocontraction, loss of rhythmicity during chewing, and abnormalities in the chewing to swallowing transition phase. These abnormalities, similar in type to those encountered in other forms of focal dystonia, may be the expression of an abnormal motor control of basal ganglia over mastication‐related movement pattern generators of the brainstem. © 2004 Movement Disorder Society

Url:
DOI: 10.1002/mds.20272

Links to Exploration step

ISTEX:B993D5A6CD237C8F626CF8442BCF0154ED58C32F

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<p>Meige's syndrome presents with a combination of upper and lower facial motor dysfunction, including eye closing spasms and oromandibular dystonia. While the pathophysiology of eye closing spasms has been extensively studied using the blink reflex and other trigeminofacial reflexes, very few studies have been carried out with regard to the abnormal perioral movements. We hypothesized that action‐related dystonic features could be revealed by the analysis of the semiautomatic rhythmic movements required for chewing and swallowing. A total of 7 patients with Meige's syndrome that complained of chewing problems and 7 age‐matched healthy volunteers were studied. Subjects were instructed to munch and swallow a small muffin while surface electromyographic (EMG) activity of masseter (MAS) and orbicularis oris (OOr) of the dominant side was recorded. In healthy subjects, MAS and OOr showed a rhythmic alternating phasic EMG pattern during chewing, which changed to a tonic cocontraction of both muscles during swallowing. Mean duration of MAS and OOr EMG bursts was, respectively, 297 ± 28 msec and 328 ± 29 msec. Patients exhibited the following alterations: excess duration of muscle activity, frequent cocontraction, loss of rhythmicity during chewing, and abnormalities in the chewing to swallowing transition phase. These abnormalities, similar in type to those encountered in other forms of focal dystonia, may be the expression of an abnormal motor control of basal ganglia over mastication‐related movement pattern generators of the brainstem. © 2004 Movement Disorder Society</p>
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<title>Chewing Pattern in Meige's Syndrome Patients</title>
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<title>Chewing pattern in patients with Meige's syndrome</title>
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<name type="personal">
<namePart type="given">Marcello M.</namePart>
<namePart type="family">Mascia</namePart>
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<affiliation>Istituto di Neurologia, Ospedale San Giovanni di Dio, Cagliari, Italy</affiliation>
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<namePart type="family">Valls‐Solé</namePart>
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<affiliation>Unitat d'EMG. Servei de Neurologia, Hospital Clínic, Barcelona, Spain</affiliation>
<description>Correspondence: Unitat d'EMG, Servei de Neurologia, Hospital Clínic, Villarroel, 170, Barcelona 08036, Spain</description>
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<namePart type="given">Maria J.</namePart>
<namePart type="family">Martí</namePart>
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<affiliation>Unitat d'EMG. Servei de Neurologia, Hospital Clínic, Barcelona, Spain</affiliation>
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<namePart type="given">Sergio</namePart>
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<affiliation>Unitat d'Estadística, Hospital Clínic, Barcelona, Spain</affiliation>
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<abstract lang="en">Meige's syndrome presents with a combination of upper and lower facial motor dysfunction, including eye closing spasms and oromandibular dystonia. While the pathophysiology of eye closing spasms has been extensively studied using the blink reflex and other trigeminofacial reflexes, very few studies have been carried out with regard to the abnormal perioral movements. We hypothesized that action‐related dystonic features could be revealed by the analysis of the semiautomatic rhythmic movements required for chewing and swallowing. A total of 7 patients with Meige's syndrome that complained of chewing problems and 7 age‐matched healthy volunteers were studied. Subjects were instructed to munch and swallow a small muffin while surface electromyographic (EMG) activity of masseter (MAS) and orbicularis oris (OOr) of the dominant side was recorded. In healthy subjects, MAS and OOr showed a rhythmic alternating phasic EMG pattern during chewing, which changed to a tonic cocontraction of both muscles during swallowing. Mean duration of MAS and OOr EMG bursts was, respectively, 297 ± 28 msec and 328 ± 29 msec. Patients exhibited the following alterations: excess duration of muscle activity, frequent cocontraction, loss of rhythmicity during chewing, and abnormalities in the chewing to swallowing transition phase. These abnormalities, similar in type to those encountered in other forms of focal dystonia, may be the expression of an abnormal motor control of basal ganglia over mastication‐related movement pattern generators of the brainstem. © 2004 Movement Disorder Society</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>mastication</topic>
<topic>swallowing</topic>
<topic>dystonia</topic>
<topic>Meige's syndrome</topic>
<topic>movement pattern generators</topic>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
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<date>2005</date>
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