Clinical presentation and management of peripheral-induced oromandibular dystonia in Nigeria: A case report and literature update

Oromandibular dystonia (OMD) is a rare focal neurological disorder associated with impaired masticatory function, dysphagia, dysphonia, and involuntary abnormal movements of the mandible of varying severity. The peripheral-induced variant among other factors is a common aetiological factor of second...

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Main Authors: Nonso Emmanuel Onyia, Mercy Okoh, Obinna Francis Igwilo, Izegboya Vivian Ukpebor, Eze Stephen Nwauzor
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2023-01-01
Series:Nigerian Journal of Medicine
Subjects:
Online Access:http://www.njmonline.org/article.asp?issn=1115-2613;year=2023;volume=32;issue=4;spage=433;epage=437;aulast=Onyia
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author Nonso Emmanuel Onyia
Mercy Okoh
Obinna Francis Igwilo
Izegboya Vivian Ukpebor
Eze Stephen Nwauzor
author_facet Nonso Emmanuel Onyia
Mercy Okoh
Obinna Francis Igwilo
Izegboya Vivian Ukpebor
Eze Stephen Nwauzor
author_sort Nonso Emmanuel Onyia
collection DOAJ
description Oromandibular dystonia (OMD) is a rare focal neurological disorder associated with impaired masticatory function, dysphagia, dysphonia, and involuntary abnormal movements of the mandible of varying severity. The peripheral-induced variant among other factors is a common aetiological factor of secondary dystonias, associated with constellations of clinical features and presents with differing responses to various treatment therapies. To report a case of oromandibular dystonia and to add to the body of literature. The case report is of a 33-year-old male who presented with complaints pain on speaking and from the temporomandibular joint area for 8 months which adversely affected patient's work, social life and psychological well-being. Examination revealed retraction and repetitive but uncoordinated pattern of labial, cheek and masticatory muscular movement on mouth opening and closing. Diagnosis of oromandibular dystonia was made on clinical grounds. Patient was managed with a combination of medications by the oral physician, and physical therapy, which led to a significant improvement in the control of muscle contractions within 5 weeks. OMD though a rare neuromuscular condition can present to the dentist, and effective assessment, diagnosis and collaboration with relevant specialities are key to improved outcome.
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spelling doaj.art-5d228027cef146899840bc5d184c57252024-04-03T06:28:14ZengWolters Kluwer Medknow PublicationsNigerian Journal of Medicine1115-26132023-01-0132443343710.4103/NJM.NJM_84_23Clinical presentation and management of peripheral-induced oromandibular dystonia in Nigeria: A case report and literature updateNonso Emmanuel OnyiaMercy OkohObinna Francis IgwiloIzegboya Vivian UkpeborEze Stephen NwauzorOromandibular dystonia (OMD) is a rare focal neurological disorder associated with impaired masticatory function, dysphagia, dysphonia, and involuntary abnormal movements of the mandible of varying severity. The peripheral-induced variant among other factors is a common aetiological factor of secondary dystonias, associated with constellations of clinical features and presents with differing responses to various treatment therapies. To report a case of oromandibular dystonia and to add to the body of literature. The case report is of a 33-year-old male who presented with complaints pain on speaking and from the temporomandibular joint area for 8 months which adversely affected patient's work, social life and psychological well-being. Examination revealed retraction and repetitive but uncoordinated pattern of labial, cheek and masticatory muscular movement on mouth opening and closing. Diagnosis of oromandibular dystonia was made on clinical grounds. Patient was managed with a combination of medications by the oral physician, and physical therapy, which led to a significant improvement in the control of muscle contractions within 5 weeks. OMD though a rare neuromuscular condition can present to the dentist, and effective assessment, diagnosis and collaboration with relevant specialities are key to improved outcome.http://www.njmonline.org/article.asp?issn=1115-2613;year=2023;volume=32;issue=4;spage=433;epage=437;aulast=Onyiabotulinum toxindystoniafocal dystoniaoromandibular dystonia
spellingShingle Nonso Emmanuel Onyia
Mercy Okoh
Obinna Francis Igwilo
Izegboya Vivian Ukpebor
Eze Stephen Nwauzor
Clinical presentation and management of peripheral-induced oromandibular dystonia in Nigeria: A case report and literature update
Nigerian Journal of Medicine
botulinum toxin
dystonia
focal dystonia
oromandibular dystonia
title Clinical presentation and management of peripheral-induced oromandibular dystonia in Nigeria: A case report and literature update
title_full Clinical presentation and management of peripheral-induced oromandibular dystonia in Nigeria: A case report and literature update
title_fullStr Clinical presentation and management of peripheral-induced oromandibular dystonia in Nigeria: A case report and literature update
title_full_unstemmed Clinical presentation and management of peripheral-induced oromandibular dystonia in Nigeria: A case report and literature update
title_short Clinical presentation and management of peripheral-induced oromandibular dystonia in Nigeria: A case report and literature update
title_sort clinical presentation and management of peripheral induced oromandibular dystonia in nigeria a case report and literature update
topic botulinum toxin
dystonia
focal dystonia
oromandibular dystonia
url http://www.njmonline.org/article.asp?issn=1115-2613;year=2023;volume=32;issue=4;spage=433;epage=437;aulast=Onyia
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