小脑卒中后口下颌肌张力障碍的突然发作。
Sudden onset of oromandibular dystonia after cerebellar stroke.
作者信息
Akin Alper, Yilmaz Rezzak, Selcuk Ferda, Akbostancı M Cenk
机构信息
Department of Neurology, School of Medicine, Ankara University, Ankara, Turkey.
出版信息
Tremor Other Hyperkinet Mov (N Y). 2014 Oct 28;4:262. doi: 10.7916/D8C24TN3. eCollection 2014.
BACKGROUND
We present the case of a 65-year-old female with sudden-onset involuntary mouth opening, deviation of the jaw, facial grimacing, and tongue movements that started 6 months prior to her admission.
CASE REPORT
She was diagnosed with oromandibular dystonia. Differential diagnosis of oromandibular dystonia and various etiologies were investigated. Neuroimaging studies revealed a left cerebellar infarction.
DISCUSSION
To our knowledge, this case is the first oromandibular dystonia presenting with cerebellar ischemic stroke. Possible roles of the cerebellum for the pathophysiology of oromandibular dystonia are discussed.
背景
我们报告一例65岁女性病例，其在入院前6个月开始出现突发的不自主张口、下颌偏斜、面部鬼脸样动作及舌部运动。
病例报告
她被诊断为口下颌肌张力障碍。对口下颌肌张力障碍及各种病因进行了鉴别诊断。神经影像学研究显示左侧小脑梗死。
讨论
据我们所知，该病例是首例表现为小脑缺血性卒中的口下颌肌张力障碍。讨论了小脑在口下颌肌张力障碍病理生理学中的可能作用。
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