口下颌肌张力障碍

Oromandibular dystonia.

作者信息

Lee Kai H

机构信息

Department of Oral and Maxillofacial Surgery, Oral Health Center, Canterbury Hospital, Christchurch, New Zealand.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2007 Oct;104(4):491-6. doi: 10.1016/j.tripleo.2007.04.001. Epub 2007 Aug 6.

DOI:10.1016/j.tripleo.2007.04.001

PMID:17689275

Abstract

Oromandibular dystonia (OMD) is a rare neuromuscular disorder characterized by involuntary repetitive muscular contraction affecting different parts of the oromandibular region. Its various physical manifestations can be extremely debilitating and socially disabling to affected patients. To date, there is no commonly accepted set of diagnostic criteria nor well-defined management pathways. This paper aims to discuss some aspects of clinical manifestations, diagnostic criteria, neurological mechanisms, and treatment options for OMD, with illustrations from 6 clinical cases.

摘要

口下颌肌张力障碍（OMD）是一种罕见的神经肌肉疾病，其特征是口下颌区域不同部位出现不自主的重复性肌肉收缩。其各种身体表现对受影响的患者来说可能极其衰弱，且会导致社交障碍。迄今为止，尚无普遍接受的诊断标准集，也没有明确界定的管理途径。本文旨在通过6例临床病例阐述，讨论口下颌肌张力障碍的临床表现、诊断标准、神经机制和治疗选择等方面。