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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2023-01-01
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Series: | Nigerian Journal of Medicine |
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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. |
first_indexed | 2024-04-24T14:21:27Z |
format | Article |
id | doaj.art-5d228027cef146899840bc5d184c5725 |
institution | Directory Open Access Journal |
issn | 1115-2613 |
language | English |
last_indexed | 2024-04-24T14:21:27Z |
publishDate | 2023-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Nigerian Journal of Medicine |
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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