Movement Disorders (revue)

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Labial dystonia after facial and trigeminal neuropathy controlled with a maxillary splint

Identifieur interne : 002D81 ( Main/Exploration ); précédent : 002D80; suivant : 002D82

Labial dystonia after facial and trigeminal neuropathy controlled with a maxillary splint

Auteurs : Manuel De Entrambasaguas [Espagne] ; Andrés Plaza-Costa [Espagne] ; Joaquín Casal [Espagne] ; Silvia Parra [Espagne]

Source :

RBID : ISTEX:9B6AFF5D5804101273AA6A4184D63F57514C63AD

Descripteurs français

English descriptors

Abstract

A 27‐year‐old woman with bruxism suffered a spider bite (Loxosceles rufescens) on the left cheek that caused severe local cellulitis, facial palsy, and painful hyperesthesia over the two lower trigeminal nerve divisions. Facial but not trigeminal neuropathy improved, and she developed a labial dystonia that only corrected while pressing the right medial incisor. A specially designed maxillary splint that continuously pressed it suppressed both dystonia and related spontaneous firing of motor unit potentials in electromyography. Overstimulation of the contralateral trigeminal territory possibly compensated for the altered left trigeminal nerve input, balanced proprioceptive influences at the central inhibitory–excitatory circuitry, and controlled dystonia. © 2007 Movement Disorder Society

Url:
DOI: 10.1002/mds.21488


Affiliations:


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Le document en format XML

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<name sortKey="Casal, Joaquin" sort="Casal, Joaquin" uniqKey="Casal J" first="Joaquín" last="Casal">Joaquín Casal</name>
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<term>Adult</term>
<term>Bruxism</term>
<term>Dystonia</term>
<term>Dystonia (etiology)</term>
<term>Dystonia (pathology)</term>
<term>Dystonia (rehabilitation)</term>
<term>Facial Nerve Diseases (complications)</term>
<term>Female</term>
<term>Humans</term>
<term>Labial Frenum (pathology)</term>
<term>Lip</term>
<term>Maxilla (physiopathology)</term>
<term>Maxillary</term>
<term>Nervous system diseases</term>
<term>Neuropathy</term>
<term>Palatal Expansion Technique</term>
<term>Trigeminal Nerve Diseases (complications)</term>
<term>Trigeminal nerve</term>
<term>bruxism</term>
<term>dystonia</term>
<term>facial</term>
<term>neuropathy</term>
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<term>Dystonia</term>
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<term>Dystonia</term>
<term>Labial Frenum</term>
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<term>Maxilla</term>
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<term>Dystonie</term>
<term>Lèvre</term>
<term>Maxillaire</term>
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<div type="abstract" xml:lang="en">A 27‐year‐old woman with bruxism suffered a spider bite (Loxosceles rufescens) on the left cheek that caused severe local cellulitis, facial palsy, and painful hyperesthesia over the two lower trigeminal nerve divisions. Facial but not trigeminal neuropathy improved, and she developed a labial dystonia that only corrected while pressing the right medial incisor. A specially designed maxillary splint that continuously pressed it suppressed both dystonia and related spontaneous firing of motor unit potentials in electromyography. Overstimulation of the contralateral trigeminal territory possibly compensated for the altered left trigeminal nerve input, balanced proprioceptive influences at the central inhibitory–excitatory circuitry, and controlled dystonia. © 2007 Movement Disorder Society</div>
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