日本口腔診断学会雑誌
Online ISSN : 2188-2843
Print ISSN : 0914-9694
ISSN-L : 0914-9694
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顎口腔ジストニアを併発した頸部ジストニアの1例
深谷 謙一角田 達哉高山 明裕齊藤 佑喜平出 諒太斎田 百合子堀田 麻実諸井 明徳吉澤 邦夫上木 耕一郎
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2017 年 30 巻 1 号 p. 32-36

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Here, we report a case of stiff neck as a symptom of cervical dystonia and oromandibular dystonia as a symptom of trismus. The patient was a 37-year-old male who was examined at a nearby dental clinical after noticing some stiffness of the neck and trismus at the same time. However, the cause was unknown and the symptoms were neglected. Thereafter, the symptoms worsened and mouth opening became strongly restricted, making dental treatment impossible. He was thus referred to our institution where he was examined. The maximum mouth opening at the first examination was 28mm. He received mouth opening training, and at the mental department, the dose of tranquilizer was reduced and he was treated with a muscle relaxant. Presently, the maximum mouth opening has improved to 40mm and his progress is under observation.

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