A distonia oromandibular (OMD) é uma forma de distonia focal, afetando a parte inferior da face e dos maxilares. É caracterizada por movimentos involuntários sustentados ou repetitivos da mandíbula e da língua e caretas faciais causadas por espasmos involuntários dos músculos mastigatórios, faciais, faríngeos, linguais e labiais.
Introdução
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A distonia oromandibular (OMD) é uma forma de distonia focal, afetando a parte inferior da face e dos maxilares. É caracterizada por movimentos involuntários sustentados ou repetitivos da mandíbula e da língua e caretas faciais causadas por espasmos involuntários dos músculos mastigatórios, faciais, faríngeos, linguais e labiais.
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Publicações mais relevantes
Association of low-frequency oscillations with target selection between the subthalamic nucleus and globus pallidus internus in blepharospasm-oromandibular dystonia.
Stimulation of the subthalamic nucleus (STN) and globus pallidus internus (GPi) is an effective target for treating blepharospasm-oromandibular dystonia, but the individual optimal remains unclear. Thirteen patients with blepharospasm-oromandibular dystonia were enrolled. Bilateral STN and GPi electrodes were implanted and externalized, and the signal of the two targets was recorded simultaneously. The power spectrum and burst characteristics were analyzed to see how they were related to symptom severity. The 1 year follow-up revealed an overall improvement rate of 76.21% ± 12.51%. Those with GPi as final targets showed higher band power and longer average burst duration in the 5.5-12 Hz band in the GPi compared to the STN (P < 0.05). Conversely, those with STN as final targets showed higher band power and longer average burst duration in the 6-10 Hz band in the STN compared to the GPi (P < 0.05). Exclusion of shorter low-frequency bursts led to higher correlation coefficients with BFMDRS-M scores in both the STN and GPi groups (P < 0.01). Our study suggests that low-frequency oscillatory features may be associated with therapeutic target selection for DBS in blepharospasm-oromandibular dystonia. These findings may help inform target selection strategies and warrant prospective validation for their value in supporting long-term clinical outcomes.
Analysis of risk factors for Meige syndrome and construction and validation of a clinical prediction nomogram model.
Meige syndrome (MS) is a craniocervical dystonia characterized by blepharospasm and oromandibular dystonia. Its etiology remains unclear, and clinical diagnosis is often delayed. Currently, there is a lack of effective risk prediction tools, making early intervention challenging. To systematically analyze the risk factors for MS and develop and validate a clinical prediction nomogram model based on clinical indicators to facilitate early risk assessment. A retrospective case-control study was conducted, enrolling 450 confirmed MS patients and 450 controls from the Third People's Hospital of Henan Province between January 2021 and December 2023. Univariate and multivariate logistic regression analyses were performed to identify independent risk factors, and a nomogram prediction model was constructed based on regression coefficients. The model's discriminative ability, calibration, and clinical utility were evaluated using receiver operating characteristic curves, calibration curves, and decision curve analysis (DCA). Multivariate analysis revealed that a history of thyroid disease (OR = 12.797), psychiatric disorders (OR = 6.892), and head/face surgery (OR = 3.466) were independent risk factors for MS, while female sex (OR = 1.87) and cerebrovascular disease (OR = 1.999) were moderate-risk factors. Notably, smoking (OR = 0.411), alcohol consumption (OR = 0.396), and diabetes (OR = 0.534) showed protective associations. The constructed nomogram model demonstrated strong predictive performance in both the training and validation sets (AUC = 0.789 and 0.800, respectively). Calibration curves indicated high consistency between predicted and observed probabilities, and DCA confirmed its clinical applicability. We developed and validated a clinical prediction nomogram for MS incorporating eight independent predictors: history of thyroid disorders, psychiatric disorders, head/face surgery, female sex, cerebrovascular disease, as well as protective factors including smoking, alcohol consumption, and diabetes. The model provides a quantifiable tool for early risk stratification and targeted intervention in clinical practice. However, further optimization and validation through multicenter prospective studies are warranted.
Case Report: Effective management of a Meige syndrome patient with subthalamic stimulation-induced dyskinesia through timed stimulation programming of different contacts.
Meige syndrome is a rare adult-onset segmental dystonia characterized by blepharospasms and oromandibular dystonia. Deep brain stimulation (DBS) of the subthalamic nucleus (STN) is an established treatment, but it can lead to stimulation-induced dyskinesia (SID) in some patients. Refractory SID in Meige syndrome after STN-DBS is clinically challenging. We report a case of a Meige syndrome patient who developed refractory SID following STN-DBS and was successfully managed using a novel timed-stimulation programming strategy employing different contacts. A 47-year-old female with a two-year history of Meige syndrome developed refractory SID after the treatment of STN-DBS. Various programming strategies were attempted, including monopolar stimulation, interleaved stimulation, bipolar stimulation et al., but none achieved a balance between symptom control and SID. A novel approach involving timed alternation between ventral contacts (contacts 3 and 7) and dorsal contacts (contacts 4 and 8) was implemented. The stimulation was gradually programmed, the duration of ventral stimulation was increased while decreasing dorsal stimulation. Eventually, the patient achieved significant symptom improvement without SID. The reconstruction of the volume of tissue activated (VTA) revealed that this stimulation strategy likely modulates the neural circuits of pallidothalamic fibers (PTF) to suppress SID. This case demonstrates that this noval timed stimulation programming can effectively manage refractory SID in Meige syndrome patients, offering a viable alternative when conventional methods fail. The findings suggest that PTF stimulation plays a key role in SID suppression, and this strategy warrants further investigation in larger cohorts.
Targeted Myofascial Release in Oromandibular Dystonia: A Case Report on Non-Invasive Tremor Reduction and Functional Recovery.
IntroductionOromandibular dystonia (OMD) is a rare, disabling movement disorder causing involuntary jaw and neck tremors. Traditional treatments, such as botulinum toxin (BTX) injections, can have side effects or limited efficacy. This case report aims to explore the effects of a non-invasive, multimodal intervention, including targeted myofascial release (MFR), on tremor severity, balance, gait, and functional independence in a patient with OMD.Case PresentationThe patient, a 65-year-old female, presented with severe jaw tremors, impaired balance, and functional limitations in daily activities. Her symptoms were assessed pre-intervention using standardized tools, including the Berg Balance Scale (BBS), Tinetti Assessment Tool (TAT), Tremor Rating Grid (TRG), Gait Assessment Instrument (GAIT), Bristol Activities of Daily Living Scale (BADLS), Barthel Index (BI), and Katz Index (KI).InterventionThe patient underwent 12 sessions over 4 weeks of targeted MFR, combined with core stabilization, jaw exercises, and sensory stimulation. Treatment progressed in three phases: tone control and trunk preparation, direct neck and jaw MFR, and functional stabilization with jaw resistance and speech exercises.OutcomesThe intervention led to substantial improvements in tremor severity (TRG: 16→5), balance (BBS: 4→27), gait (GAIT: 6→23), and functional independence (BADLS: 21→11; Barthel: 30→70; Katz: 3→6).ConclusionThis case demonstrates that targeted MFR is a safe, non-invasive intervention that can substantially improve tremor, balance, gait, and functional independence in OMD. These findings highlight the novelty and clinical relevance of the approach and support the need for larger controlled studies.
DYT-AOPEP: A case series from India expanding the clinical and genetic spectrum.
DYT-AOPEP (Aminopeptidase O) or DYT31 is a rare, newly discovered genetic cause of autosomal recessive monogenic adult-onset isolated dystonia. We describe three Indian patients with likely pathogenic variants in the AOPEP gene, expanding the clinicogenetic spectrum DYT-AOPEP. First proband presented with adult-onset generalised isolated dystonia, which was medically refractory, but responded to GPi-DBS. He harboured a homozygous splice site variant (NM_001193329.3:c.1916+1G > C). The second proband had adult-onset isolated generalised dystonia without any family history, which started in her lower limb. She carried a homozygous stop-gain variant [NM_001193329.3:c.617dup; (p.Tyr206∗)]. The third proband had oromandibular dystonia progressing to generalised dystonia with a homozygous missense stop-gain variant [NM_001193329.3:c.895C > T; (p.Arg299∗)]in the AOPEP gene. A total of eighteen patients have been described in the literature so far with variable age of onset, isolated limb-onset dystonia, or cervical dystonia, most characteristically retrocollis and is sometimes associated with parkinsonism. Some patients develop mixed hyperkinetic movement disorders. Pallidal deep-brain stimulation is a good therapeutic option in medically refractory cases. AOPEP is a recently identified gene within the expanding spectrum of dystonia-associated genes. An increasing number of patients with pathogenic variants have been reported in recent studies, supporting its consideration for inclusion in dystonia gene panels and broader population-based screening. Benign essential blepharospasm (BEB) is a persistent focal cranial dystonia characterized by involuntary, repeated, and frequently debilitating spasms of the orbicularis oculi muscles. Blepharospasm is a disease characterized by an increased rate of bilateral eyelid closure, mainly due to involuntary contraction of the orbicularis oculi muscles (see Image. Typical Blepharospasm). The disorder typically begins with excessive blinking, ocular discomfort, or sporadic eyelid fluttering, and may progress to persistent, powerful spasms that obstruct vision. Once regarded as a purely motor disorder, recent research indicates that BEB represents a multifaceted malfunction within central sensorimotor networks, encompassing the basal ganglia, cerebellum, thalamus, and cortical inhibitory pathways. These anomalies diminish the capacity to inhibit reflexive blinking and enhance motor reactions to sensory stimuli. Over time, the natural history typically demonstrates progressive symptom exacerbation, with several people eventually experiencing functional blindness—characterized by an inability to maintain sufficient eyelid elevation for visual tasks. Contemporary cohort studies validate the progressive and debilitating characteristics of BEB, evidencing significant declines in quality of life and social engagement. Extensive epidemiological data underscore BEB as a chronic neurological condition with considerable individual and social impact. Blepharospasm is a type of dystonia, a movement disorder characterized by sustained or intermittent muscle contractions that lead to abnormal, repetitive movements or postures, often patterned and sometimes twisting or tremulous. In most dystonias, voluntary action typically leads to exacerbation of dystonia due to overactivation of muscles. Dystonia can potentially affect any part of the body and can present at a wide range of ages. This disorder can be classified according to its distribution across the body: Focal dystonia refers to dystonia that affects only 1 isolated region of the body. Segmental dystonia refers to dystonia that affects 2 or more contiguous regions of the body. Multifocal dystonia refers to dystonia affecting 2 or more noncontiguous regions. Hemidystonia refers to a form of dystonia that affects half of the body. Generalized dystonia refers to dystonia affecting the trunk and 3 other sites. Dystonia can have a static or progressive course. Furthermore, the variability of symptoms can be classified according to how often they occur: Persistent dystonia refers to dystonia that remains at the same level throughout the day. Action-specific dystonia refers to dystonia that occurs only when performing a specific activity. Diurnal fluctuation refers to dystonia that varies throughout the day, with circadian variation in severity. Paroxysmal dystonia refers to sudden episodes of dystonia typically induced by a trigger. Examples of focal dystonia include blepharospasm, oromandibular dystonia, writer's cramp, spasmodic dysphonia, and torticollis. Blepharospasm is a focal dystonia characterized by simultaneous contraction of agonist and antagonist muscles, resulting in involuntary eyelid closure; the first report of patients with blepharospasm was a description of 10 patients by Henri Meige in 1910. The patients reported in this study had involuntary eyelid closure associated with jaw muscle contraction. In his paper, Meige named this phenomenon Convulsions de la Face ("convulsions of the face"). BEB originates from the dysregulated function of the orbicularis oculi muscle, which is innervated by the facial nerve and modulated by brainstem and basal ganglia circuits. Pathological excitability in these circuits leads to heightened blinking responses to trivial stimuli, such as bright light, dryness, or emotional stress. Neurophysiological investigations indicate increased blink reflex sensitivity and diminished inhibitory control, suggesting that BEB disrupts normal sensorimotor gating. Furthermore, ocular surface disorders significantly contribute to symptom exacerbation. Dry eye disease is prevalent in BEB, and elevated blink frequency appears to be both a catalyst and a result of tear-film instability. Research indicates that tear hyperosmolarity, elevated levels of inflammatory cytokines, and mechanical irritation of the ocular surface may exacerbate dystonic contractions, thereby creating a positive feedback loop between sensory irritation and motor dysfunction. Alterations in the ocular surface constitute an additional aspect of the normal progression of BEB. Excessive blinking intensity and frequency lead to tear-film instability, lid wiper epitheliopathy, meibomian gland strain, and epithelial microtrauma. Research investigating the ocular surface pre- and post-botulinum toxin injections demonstrates persistent anomalies, such as diminished tear breakup time, heightened corneal staining, and mechanical damage in the lid wiper area, which frequently ameliorate following the regulation of spasms. Long-term observational data indicate that BEB is linked to significant psychological effects, including anxiety, depression, and sleep disturbances, all of which correlate with heightened dystonic severity. These non-motor manifestations further underscore the multimodal nature of BEB and its significant impact on patient well-being.
Publicações recentes
Reviving Hope: Overcoming Deep Brain Stimulation Failure With Partial Cranial Nerve Radiofrequency Ablation in Primary Meige Syndrome.
Shared and Specific Patterns of Brain Functional Network Abnormalities in Patients With Idiopathic Dystonia and Across Subtypes.
A plastic surgery approach to Meige syndrome: Botulinum toxin for rebalancing facial dystonia and aesthetics - A case report.
Chorea-acanthocytosis masquerading as a progressive seizure disorder with apparent early immunotherapy responsiveness.
Association of low-frequency oscillations with target selection between the subthalamic nucleus and globus pallidus internus in blepharospasm-oromandibular dystonia.
📚 EuropePMC188 artigos no totalmostrando 198
Association of low-frequency oscillations with target selection between the subthalamic nucleus and globus pallidus internus in blepharospasm-oromandibular dystonia.
Journal of neurologyTargeted Myofascial Release in Oromandibular Dystonia: A Case Report on Non-Invasive Tremor Reduction and Functional Recovery.
NeuroRehabilitationAnalysis of risk factors for Meige syndrome and construction and validation of a clinical prediction nomogram model.
Frontiers in neurologyDYT-AOPEP: A case series from India expanding the clinical and genetic spectrum.
Parkinsonism & related disordersReal-World Retrospective Safety Analysis of OnabotulinumtoxinA for the Treatment of Patients with Chronic Migraine and Concomitant Therapeutic Indications.
Pain and therapyBotulinum Toxin A in Poststroke Oromandibular Dystonia: Case Reports.
Case reports in neurological medicineCase Report: Effective management of a Meige syndrome patient with subthalamic stimulation-induced dyskinesia through timed stimulation programming of different contacts.
Frontiers in human neuroscienceGlobus pallidus internus versus subthalamic nucleus deep brain stimulation for Meige syndrome: a retrospective study on short- and long-term efficacy.
Journal of neurosurgeryTreatment of Blepharospasm with Methylphenidate: A Telemedicine Study.
Movement disorders clinical practiceOromandibular Dystonia as the First Reported Presentation of SCA43 Due to MME c.94_95dup (p.Val33Argfs*10).
NeurologyMultiple system atrophy presenting as oromandibular dystonia and bruxism.
Journal of the American Dental Association (1939)Peripherally Induced Oromandibular Dystonia Following Orthognathic Surgery.
CureusThe Effective Way of Botulinum Toxin Injection to Reduce Bite Force: Preliminary Study.
ToxinsReal-world pharmacovigilance of risperidone: Analysis based on FAERS reports from physicians and pharmacists.
PloS one[Meige syndrome with dyspnea as main manifestation: a report of one case and literature review].
Lin chuang er bi yan hou tou jing wai ke za zhi = Journal of clinical otorhinolaryngology head and neck surgeryLost in Cognition: Paraneoplastic Rhombencephalitis With Anti-Ri/Antineuronal Nuclear Antibody Type 2 (ANNA-2) Antibodies Presenting as Rapid-Onset Cognitive Decline and Ophthalmoplegia-Ataxia With Reversible Brainstem Lesion.
CureusEnvironmental Risk Factors in Isolated Dystonia: A Systematic Scoping Review.
Annals of Indian Academy of NeurologyDeep brain stimulation for Meige syndrome.
Surgical neurology internationalChewing Dystonia and Sensory Modulation: An Exploratory Study of Intraoral Lidocaine Effects.
Movement disorders clinical practiceRare PANK2 variants and pantothenate-kinase-associated neurodegeneration in the Dominican Republic.
Brain communicationsOromandibular Dystonia and Dysphagia in Hyperglycemic Brainstem Dysfunction.
Tremor and other hyperkinetic movements (New York, N.Y.)Botulinum toxin treatment of lingual dystonia, oromandibular dystonia and bruxism-A review and update.
Toxicon : official journal of the International Society on ToxinologyComparative study of brain activity and functional connectivity in blepharospasm and blepharospasm-oromandibular dystonia.
Frontiers in neurologyClinico-genetic profile of case series of six Tamilian chorea-acanthocytosis families with VPS13A mutations from South India.
Parkinsonism & related disordersUnraveling a Decade of Misdiagnosis and Suffering: A Pioneering Diagnostic and Therapeutic Breakthrough in Resolving Chronic Oromandibular Dystonia After Years of Failed Multidisciplinary Approaches.
The Journal of craniofacial surgeryAccelerated continuous theta burst stimulation of supplementary motor area in management of oromandibular dystonia: A case study.
Asian journal of psychiatryIsolated neurological symptoms of Wilson's disease manifesting as focal epileptic seizures without hepatic involvement: Insights from a case report.
The Journal of international medical researchAnti-Ri Associated Paraneoplastic Cervical Dystonia and Laryngospasm in a Patient with Nasopharyngeal Carcinoma.
Noro psikiyatri arsiviPatient Burden in Dystonia Diagnosis and Botulinum Toxin Treatment: A Nationwide Survey in Turkey.
Brain and behaviorMyoclonic status epilepticus with dystonia-like symptoms in patients with dementia: Report of two cases.
Epilepsy & behavior reportsAssociation between functional alterations and specific transcriptional expression patterns in craniocervical dystonia.
Parkinsonism & related disordersThe World's Oldest Description of Oromandibular Dystonia.
Movement disorders clinical practiceTreatment with OnabotulinumtoxinA for Oromandibular Dystonia: A Systematic Review and Meta-Analysis.
ToxinsOptimal botulinum toxin therapy of dystonia in Germany: what would it cost?
Journal of neural transmission (Vienna, Austria : 1996)Spasmodic dysphonia: the need for a combined neurological and phoniatric approach.
Journal of neural transmission (Vienna, Austria : 1996)Risk of Spreading in Adult-onset Dystonia.
Tremor and other hyperkinetic movements (New York, N.Y.)Efficacy of the Hegab temporomandibular joint splint in treating patients diagnosed with dystonia with or without systemic involvement: A report of 14 cases.
The British journal of oral & maxillofacial surgeryAcupuncture for Meige syndrome: A case report.
Explore (New York, N.Y.)Movement disorders of the stomatognathic system: A blind spot between dentistry and medicine.
Dental and medical problemsPeripherally induced movement disorders in the stomatognathic system after oral surgical or dental procedures.
Oral and maxillofacial surgeryLevofloxacin-Induced Oromandibular Dystonia in a 9-Year-Old Patient.
Iranian journal of child neurologyA Presentation of Meige Syndrome With Associated Upper Motor Neuron Symptoms.
CureusSurgical Myectomy and Myotomy for Refractory Blepharospasm in Meige Syndrome Patients: A Case Report.
Clinical medicine insights. Case reportsConcurrent glossopharyngeal neuralgia and oromandibular dystonia resolved after microvascular decompression of the trigeminal and glossopharyngeal nerve: A rare presentation.
Surgical neurology internationalEffects of onabotulinum toxin type A injections in patients with Meige's syndrome.
Arquivos de neuro-psiquiatriaProgressive thalamic nuclear atrophy in blepharospasm and blepharospasm-oromandibular dystonia.
Brain communicationsGenetic Update and Treatment for Dystonia.
International journal of molecular sciencesOromandibular dystonia: from onset to spread a multicenter italian study.
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical NeurophysiologyA Novel Homozygous Variant in the MCOLN1 Gene Associated With Severe Oromandibular Dystonia and Parkinsonism.
The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiquesUltrasound-guided intraoral botulinum toxin injection into the lateral pterygoid muscle for chronic temporomandibular joint dislocation.
Journal of the Korean Association of Oral and Maxillofacial SurgeonsOromandibular Dystonia After Low-Dose Olanzapine Treatment in a Patient With Marchiafava-Bignami Disease With Demyelinating Lesions in the Corpus Callosum: A Case Report.
CureusIntermediate Syndrome Presenting as Extrapyramidal Oromandibular Dystonia Due to Organophosphorus Inhalation: A Rare Case Report.
CureusNew-Onset Focal Task Specific Oromandibular Dystonia in Association with Quran Recitation: A Case Series.
Tremor and other hyperkinetic movements (New York, N.Y.)Task-Specific Lingual Dystonia During Japanese Religious Services.
CureusCase report: Lingual dystonia symptoms treated with botulinum toxin in patients with THAP1 mutation.
Dystonia (Lausanne, Switzerland)Levodopa-Induced Jaw and Facial Dystonia in a Case of Progressive Supranuclear Palsy with Blepharospasm.
Movement disorders clinical practiceOromandibular Dystonia as a Side Effect of Methotrexate.
CureusTask-specific oromandibular dystonia secondary to chewing Khat (Catha edulis)- A series of 35 cases.
Parkinsonism & related disordersTreatment of oromandibular dystonia with botulinum toxin A improves apnea in a teenager with quadriplegic cerebral palsy: A case report.
Journal of pediatric rehabilitation medicinePhenotypic Variability in Acquired and Idiopathic Dystonia.
Movement disorders clinical practice[Efficacy of CT-guided partial radiofrequency ablation of bilateral responsible cranial nerves in the treatment of Meige syndrome].
Zhonghua yi xue za zhiMultiple system atrophy associated with Meige syndrome: A rare case report.
Radiology case reportsAbnormalities in the face primary motor cortex in oromandibular dystonia.
Clinical neurophysiology : official journal of the International Federation of Clinical NeurophysiologyClinical Presentation and Management of Acute Dystonia from Drug Abuse or Misuse in Adolescents and Young Adults: A Retrospective Cohort Study in Bangkok, Thailand.
Emergency medicine internationalRobot-assisted bilateral deep brain electrode implantation to treat isolated oromandibular dystonia.
Asian journal of surgeryOromandibular Dystonia: Clinical and Demographic Data from Eight-Two Patients.
Tremor and other hyperkinetic movements (New York, N.Y.)[The efficacy and safety of nerve loop blocking in the treatment of blepharospasm in Meige syndrome].
[Zhonghua yan ke za zhi] Chinese journal of ophthalmologyA KMT2B Frameshift Variant Causing Focal Dystonia Restricted to the Oromandibular Region After Long-Term Follow-up.
Journal of movement disordersNeurophysiological Basis of Deep Brain Stimulation and Botulinum Neurotoxin Injection for Treating Oromandibular Dystonia.
ToxinsLower Cranial Dystonia with Inflated Cheeks: A Case of Dystonic Respiratory Failure.
Internal medicine (Tokyo, Japan)Tardive Oromandibular Dystonia Induced by Trazodone: A Clinical Case and Management from the Perspective of the Dental Specialist.
ToxinsBotulinum Toxin, a Drug with Potential Interest for Dentists-An Introduction.
ToxinsEffects of Botulinum Toxin Therapy on Health-Related Quality of Life Evaluated by the Oromandibular Dystonia Rating Scale.
ToxinsCT-guided radiofrequency ablation of the extracranial cranial nerve for the treatment of Meige's syndrome.
Frontiers in neuroscienceClinical Features and Evolution of Blepharospasm: A Multicenter International Cohort and Systematic Literature Review.
Dystonia (Lausanne, Switzerland)The Prevalence of Idiopathic or Inherited Isolated Dystonia: A Systematic Review and Meta-Analysis.
Movement disorders clinical practiceMental health and quality of life in patients with craniofacial movement disorders: A cross-sectional study.
Frontiers in neurologyPatient selection and injection techniques for botulinum neurotoxin in oromandibular dystonia.
Clinical parkinsonism & related disordersThe epidemiology of dystonia: the Hannover epidemiology study.
Journal of neurologyMovement disorders of the mouth: a review of the common phenomenologies.
Journal of neurologyOutcome of pallidal deep brain stimulation for treating isolated orofacial dystonia.
Acta neurochirurgicaPallidus Stimulation for Chorea-Acanthocytosis: A Systematic Review and Meta-Analysis of Individual Data.
Journal of movement disordersBotulinum toxin injections in jaw-opening dystonia. The lateral pterygoid - maxillary artery problem.
Journal of clinical neuroscience : official journal of the Neurosurgical Society of AustralasiaAtypical Blepharospasm with Oromandibular Dystonia Associated with Cerebral Amyloid Angiopathy.
Neuro-ophthalmology (Aeolus Press)Drug-Induced Oromandibular Dystonia Presenting as Chronic Temporomandibular Joint Dislocation: A Rare Case Report.
CureusBotulinum Toxin Therapy for Oromandibular Dystonia and Other Movement Disorders in the Stomatognathic System.
ToxinsOromandibular Dystonia - A Systematic Review.
Annals of Indian Academy of NeurologyUltrasound-Guided OnabotulinumtoxinA Injections to Treat Oromandibular Dystonia in Cerebral Palsy.
ToxinsTime to onset and duration of botulinum toxin efficacy in movement disorders.
Journal of neurologyGenetic screening in patients of Meige syndrome and blepharospasm.
Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical NeurophysiologyChanges in pallidal neural activity following long-term symptom improvement from botulinum toxin treatment in DYT6 dystonia: a case report.
Journal of medical case reportsPathophysiological mechanisms of oromandibular dystonia.
Clinical neurophysiology : official journal of the International Federation of Clinical NeurophysiologyOromandibular dystonia and temporomandibular disorders.
Journal of the American Dental Association (1939)Chemodenervation for Oromandibular Dystonia Utilizing Botulinum Toxins.
CureusAnti-N-methyl-D-aspartate receptor encephalitis: An observational and comparative study in Mexican children and adults.
Clinical neurology and neurosurgeryOro-mandibular dystonia in pediatric moyamoya disease: Two cases report.
Surgical neurology internationalOromandibular Dystonia: A Clinical Examination of 2,020 Cases.
Frontiers in neurologyEffects of Botulinum Toxin Type A on Pain among Trigeminal Neuralgia, Myofascial Temporomandibular Disorders, and Oromandibular Dystonia.
ToxinsOromandibular Dystonia Treatment With Aripiprazole in an Adolescent Patient 2-Year Follow-Up: A Case Report.
Psychiatry and clinical psychopharmacologyDose conversion ratio, comparative efficacy, and adverse events after switching from onabotulinum toxin A to abobotulinum toxin A for neurological conditions.
Clinical neurology and neurosurgerySurface electromyography for evaluating patients with oromandibular dystonia.
Cranio : the journal of craniomandibular practiceSleep and other Non-motor Symptoms in Patients with Idiopathic Oromandibular Dystonia and Meige Syndrome: A Questionnaire-based Study.
Annals of Indian Academy of NeurologyThe Spectrum of Movement Disorders in Neuroacanthocytosis Syndromes: A Video Series.
Movement disorders clinical practiceSertraline Induced Oromandibular Dystonia and Galactorrhea: A Case Report.
Psychiatria DanubinaA Novel COVID Era-Related Oromandibular Dyskinesia: Surgical Mask-Induced Dyskinesia?
The Canadian journal of neurological sciences. Le journal canadien des sciences neurologiquesSensory trick effect in craniofacial dystonia as one of the possible impacts of wearing face masks during the COVID-19 pandemic.
Neurological research and practiceOral health and oral health-related quality of life in patients with oral dystonia indicates their need for dental special care.
Medicina oral, patologia oral y cirugia bucalChorea-acanthocytosis: A Case Report with Review of Oral Manifestations.
Contemporary clinical dentistryPrevalence and incidence of oromandibular dystonia: an oral and maxillofacial surgery service-based study.
Clinical oral investigationsBlepharospasm, Oromandibular Dystonia, and Meige Syndrome: Clinical and Genetic Update.
Frontiers in neurologyExperiences on The Administration of Botulinum Toxin in Movement Disorders.
Journal of translational internal medicineTemporomandibular disorder-related characteristics and treatment outcomes in Oromandibular Dystonia patients in two different clinical settings: A cross-sectional study.
Journal of oral rehabilitationCase Report: Neuronal Intranuclear Inclusion Disease With Oromandibular Dystonia Onset.
Frontiers in neurologyMunchausen syndrome: report of a case and implications for dentists.
General dentistryExploring the Psychosocial Impact of Botulinum Toxin Type A Injections for Individuals With Oromandibular Dystonia: A Qualitative Study of Patients' Experiences.
American journal of speech-language pathology[Therapeutic strategies for oromandibular dystonia].
Fortschritte der Neurologie-PsychiatrieExpanding the clinical spectrum of adult-onset neuronal intranuclear inclusion disease.
Acta neurologica BelgicaCase Report: Isolated Lingual Dystonia.
F1000ResearchProgressive Decline in Voice and Voice-Related Quality of Life in X-Linked Dystonia Parkinsonism.
Journal of voice : official journal of the Voice FoundationThe Expanding Phenotypic Spectrums Associated with ATP1A3 Mutation in a Family with Rapid-Onset Dystonia Parkinsonism.
Neuro-degenerative diseasesNeuromodulation for Restoration of Urinary and Bowel Control.
Neurology IndiaMicrosurgery and Neuromodulation for Facial Spasms.
Neurology IndiaRefractory dry eye disease associated with Meige's syndrome induced by long-term use of an atypical antipsychotic.
BMC ophthalmologyDevelopment and Validation of a Disease-Specific Oromandibular Dystonia Rating Scale (OMDRS).
Frontiers in neurologyA Case of Meige Syndrome Treated With Baclofen.
Cureus[Dementia with Lewy bodies in a patient with oromandibular dystonia].
Zhurnal nevrologii i psikhiatrii imeni S.S. KorsakovaJaw Pain and Oromandibular Dysfunction After a Complex Hospital Course: A Clinical Vignette.
American journal of physical medicine & rehabilitationCervical dystonia: factors deteriorating patient satisfaction of long-term treatment with botulinum toxin.
Neurological researchMovement disorders in children with congenital Zika virus syndrome.
Brain & development[ADCY5-associated dyskinesia in young children: a case report of a family and an updated review].
Revista de neurologiaOrofacial dystonia and asssociated bulbar symptoms in multiple system atrophy: A blinded video analysis.
Journal of the neurological sciencesOral appliances in the treatment of oromandibular dystonia: a systematic review.
Acta neurologica BelgicaPrevalence and clinical characteristics of patients with oromandibular dystonia seen in the orofacial pain clinic: a retrospective study.
Oral surgery, oral medicine, oral pathology and oral radiologyTreatment of Blepharospasm and Oromandibular Dystonia with Botulinum Toxins.
ToxinsMedical and Surgical Treatments for Dystonia.
Neurologic clinicsObstructive sleep apnea due to oromandibular dystonia and treated with botulinum toxin.
Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep MedicineOromandibular dystonia: a diagnosis not to miss.
The British journal of oral & maxillofacial surgeryDistribution of temporomandibular disorders among sleep bruxers and non-bruxers-A polysomnographic study.
Journal of oral rehabilitationNatural history and genotype-phenotype correlation of pantothenate kinase-associated neurodegeneration.
CNS neuroscience & therapeuticsCOL6A3 mutation associated early-onset isolated dystonia (DYT)-27: Report of a new case and review of published literature.
Brain & developmentSensory Tricks in Pantothenate Kinase-Associated Neurodegeneration: Video-Analysis of 43 Patients.
Movement disorders clinical practiceTherapy-refractory schizophrenia in a patient who previously suffered from Meige's syndrome.
Neuropsychopharmacology reportsRefractory Open Jaw Oromandibular Tardive Dystonia with a Sensory Trick, Treated with Botulinum Toxin: A Case Report.
Neurology IndiaThe Consequences of Oromandibular Dystonia on Communicative Participation: A Qualitative Study of the Insider's Experiences.
American journal of speech-language pathologyDeep brain stimulation for Meige syndrome: a meta-analysis with individual patient data.
Journal of neurologyCriminal Behaviour Associated with a Novel Mutation in the VPS13A-Gene Causing Chorea-Acanthocytosis.
Case reports in psychiatryProminent Oromandibular Dystonia as Levodopa-induced Dyskinesia in Idiopathic Parkinson's Disease.
Movement disorders clinical practiceTongue base retraction and airway obstruction in drug-induced oromandibular dystonia.
NeurologyIsolated Lingual Dystonia as the Manifestation of Acute Extrapyramidal Syndrome Induced by Metoclopramide.
Journal of neurosciences in rural practiceOromandibular Dystonia Causing Recurrent Mandibular Open Lock in Two Adolescents Managed with Botulinum Toxin.
Journal of dentistry for children (Chicago, Ill.)Task-Specific Oromandibular Dystonia in a Telemarketer.
Journal of movement disordersChorea-ballism as a dominant clinical manifestation in heteroplasmic mitochondrial encephalopathy, lactic acidosis, and stroke-like episodes syndrome with A3251G mutation in mitochondrial genome: a case report.
Journal of medical case reportsFamilial Spinocerebellar Ataxia Type 2 Parkinsonism Presenting as Intractable Oromandibular Dystonia.
Tremor and other hyperkinetic movements (New York, N.Y.)Mandibular Bone Loss after Masticatory Muscles Intervention with Botulinum Toxin: An Approach from Basic Research to Clinical Findings.
ToxinsOromandibular dystonia, mental distress and oro-facial dysfunction-A follow-up 8-10 years after start of treatment with botulinum toxin.
Journal of oral rehabilitationBotulinum Neurotoxin Therapy for Lingual Dystonia Using an Individualized Injection Method Based on Clinical Features.
ToxinsFacial grimacing and clinical correlates in spinocerebellar ataxia type 3.
Journal of the neurological sciencesBotulinum neurotoxin a therapy efficacy and safety for oromandibular dystonia: a meta-analysis.
Journal of neural transmission (Vienna, Austria : 1996)Oromandibular Dystonia Related to Sertraline Treatment in a Child.
Journal of child and adolescent psychopharmacologySetting the record straight: The nosology of tardive syndromes.
Parkinsonism & related disordersInterdisciplinary recognizing and managing of drug-induced tardive oromandibular dystonia: two case reports.
Clinical case reportsDental appliance therapy in pantothenate kinase-associated neurodegeneration: Case report.
Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric DentistryThe American Academy of Oral Medicine Clinical Practice Statement: Oromandibular dystonia.
Oral surgery, oral medicine, oral pathology and oral radiologyOromandibular Dystonia: Demographics and Clinical Data from 240 Patients.
Journal of movement disordersMultilingual website and cyberconsultations for oromandibular dystonia.
Neurology internationalOromandibular Dystonia-Related Temporomandibular Joint Osteoarthritis: A Case History Report.
The International journal of prosthodonticsOromandibular dystonia screening questionnaire for differential diagnosis.
Clinical oral investigationsComputer-Aided Design/Computer-Assisted Manufacture-Derived Needle Guide for Injection of Botulinum Toxin into the Lateral Pterygoid Muscle in Patients with Oromandibular Dystonia.
Journal of oral & facial pain and headacheBotulinum Neurotoxin Injection for the Treatment of Recurrent Temporomandibular Joint Dislocation with and without Neurogenic Muscular Hyperactivity.
ToxinsPilot Single-Blind Trial of AbobotulinumtoxinA in Oromandibular Dystonia.
Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeuticsBotulinum toxin in movement disorders.
Neurology IndiaSystematic review of botulinum toxin treatment for oromandibular dystonia.
Toxicon : official journal of the International Society on ToxinologyThe nosology of tardive syndromes.
Journal of the neurological sciencesMultidisciplinary management of a partially edentulous patient with oromandibular dystonia: A clinical report.
The Journal of prosthetic dentistryClinical and Phenomenological Characteristics of Patients with Task-Specific Lingual Dystonia: Possible Association with Occupation.
Frontiers in neurologyCapecitabine-Related Neurotoxicity Presenting as Oromandibular Dystonia.
Journal of oncology practiceLong-term clinical outcome of bilateral pallidal stimulation for intractable craniocervical dystonia (Meige syndrome). Report of 6 patients.
Journal of the neurological sciencesSensory trick splint as a multimodal therapy for oromandibular dystonia.
Journal of prosthodontic researchSpeech-Language Pathology Evaluation and Management of Hyperkinetic Disorders Affecting Speech and Swallowing Function.
Tremor and other hyperkinetic movements (New York, N.Y.)Persistent oromandibular dystonia and angioedema secondary to haloperidol.
BMJ case reportsAn update on new and unique uses of botulinum toxin in movement disorders.
Toxicon : official journal of the International Society on ToxinologyExploratory structural assessment in craniocervical dystonia: Global and differential analyses.
PloS oneManagement of Oromandibular Dystonia: A Case Report and Literature Update.
Case reports in dentistrySelf-Rated Communication-Related Quality of Life of Individuals With Oromandibular Dystonia Receiving Botulinum Toxin Injections.
American journal of speech-language pathologyEtiology, Diagnosis and Management of Oromandibular Dystonia: an Update for Stomatologists.
Journal of dentistry (Shiraz, Iran)Perspectives on the Psychosocial Management of Oromandibular Dystonia.
Seminars in speech and languageBotulinum Toxin Therapy for Parkinson's Disease.
Seminars in neurologyBilateral pallidotomy for Meige syndrome.
Acta neurochirurgicaCefixime-induced Oromandibular Dystonia in an Adult: A Case Report.
Current drug safetyThe therapeutic usage of botulinum toxin (Botox) in non-cosmetic head and neck conditions - An evidence based review.
Saudi pharmaceutical journal : SPJ : the official publication of the Saudi Pharmaceutical SocietyHow Many Dystonias? Clinical Evidence.
Frontiers in neurologyMeige's syndrome: History, epidemiology, clinical features, pathogenesis and treatment.
Journal of the neurological sciencesHow Do I Inject Botulinum Toxin Into the Lateral and Medial Pterygoid Muscles?
Movement disorders clinical practiceCase Report of a Severe Recurrent Tongue Self-Injury in an Infant With Dystonia.
PediatricsSurgical intervention for oromandibular dystonia-related limited mouth opening: Long-term follow-up.
Journal of cranio-maxillo-facial surgery : official publication of the European Association for Cranio-Maxillo-Facial SurgeryClinical Characteristics of Voice, Speech, and Swallowing Disorders in Oromandibular Dystonia.
Journal of speech, language, and hearing research : JSLHROromandibular Dystonia: A Case Report of the Lateral Pterygoid Muscle Involvement and Treatment with Botulinum Toxin A.
Clinics and practiceManagement of oromandibular dystonia with botulinum A toxin: a series of cases.
The British journal of oral & maxillofacial surgeryAssociações
Organizações que acompanham esta doença — pra ter apoio e orientação
Ainda não temos associações cadastradas para Distonia oromandibular.
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Comunidades
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- Association of low-frequency oscillations with target selection between the subthalamic nucleus and globus pallidus internus in blepharospasm-oromandibular dystonia.
- Analysis of risk factors for Meige syndrome and construction and validation of a clinical prediction nomogram model.
- Case Report: Effective management of a Meige syndrome patient with subthalamic stimulation-induced dyskinesia through timed stimulation programming of different contacts.
- Targeted Myofascial Release in Oromandibular Dystonia: A Case Report on Non-Invasive Tremor Reduction and Functional Recovery.
- DYT-AOPEP: A case series from India expanding the clinical and genetic spectrum.
- Reviving Hope: Overcoming Deep Brain Stimulation Failure With Partial Cranial Nerve Radiofrequency Ablation in Primary Meige Syndrome.
- Shared and Specific Patterns of Brain Functional Network Abnormalities in Patients With Idiopathic Dystonia and Across Subtypes.
- A plastic surgery approach to Meige syndrome: Botulinum toxin for rebalancing facial dystonia and aesthetics - A case report.
- Chorea-acanthocytosis masquerading as a progressive seizure disorder with apparent early immunotherapy responsiveness.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:93958(Orphanet)
- MONDO:0019771(MONDO)
- Distonia e Espasticidade(PCDT · Ministério da Saúde)
- GARD:19243(GARD (NIH))
- Busca completa no PubMed(PubMed)
- Q73828(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
