Boccalatte L A, Nassif M G, Figari M F
Head and Neck Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
Maxillofacial Surgery, Hospital Italiano de Buenos Aires, Buenos Aires, Argentina.
J Surg Case Rep. 2018 Mar 29;2018(3):rjy054. doi: 10.1093/jscr/rjy054. eCollection 2018 Mar.
Temporomandibular joint dislocation (TMJ) is an infrequent clinical situation, representing 3% of all the human body's dislocations. The etiological factors reported are associated to alterations typical of the joint or of the muscular-ligament apparatus, or to clinical conditions that may cause dislocation. We present the case of a 46-year-old patient with hereditary hemorrhagic telangiectasia with bilateral dislocation of the TMJ. There are several potential causes (antipsychotics, intubation, etc.) although the deposit of manganese in the basal ganglia that produce extrapyramidal symptoms could be the most consistent cause.
颞下颌关节脱位(TMJ)是一种不常见的临床情况,占人体所有脱位的3%。报道的病因与关节或肌肉韧带装置的典型改变有关,或与可能导致脱位的临床状况有关。我们报告一例46岁患有遗传性出血性毛细血管扩张症并双侧颞下颌关节脱位的患者。虽然基底节中锰的沉积产生锥体外系症状可能是最符合的病因,但还有几种潜在病因(抗精神病药物、插管等)。