Abstract
Meige syndrome (MS), which was described first by Henry Meige in 1910, is one of the rare nerve disease in the oral and maxillofacial area. Clinical characteristics are chiefly the distribution of abnormal involuntary movements (AIM) which are revealed as blepharospasm and oromandibular dystonia. They are aggravated by stress and disappear during sleep. But prognosis is comparatively wrong. We experienced a case of the MS and reported its outline.
The patient, a 60-year-old female, visited our hospital complaining of occlusal pain and disorder of ingestion due to AIM. Intraorally upper jaw was edentulous and teeth of lower jaw bited the alveola. Dental treatment of denture adjustment and osteoplasty in order to reduce the complaints induced stress and made her symptoms worse. Therefore she was introduced to the department of neuropsychiatry of Okayama University Medical School and diagnosed MS. Main treatment of MS is pharmacotherapy. Medicines are chosen conservatively based on empirical knowledge. A combination of oxypertin (60 mg/day) and clonazepam (1. 5mg/day) worked well.
Oral dyskinesia and Tardive dystonia off en indicate analogous symptoms, but they are quite different diseases and it is difficult to distinguish MS from them. It should be grasped neurologically and consulted by a specialist as soon as possible.
