Breathing dystonia in Meige syndrome
Background: Dyspnoea is rarely mentioned in the clinical description of adult-onset isolated dystonia. In this study, we present the clinical features of 13 patients with Meige syndrome (cranio-cervical dystonia) with breathing difficulties. Methods: A retrospective case note review was performed of...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2021-01-01
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| Series: | Clinical Parkinsonism & Related Disorders |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590112521000189 |
| _version_ | 1819096913170923520 |
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| author | Natalie Anne Watson Lucy Anne Hicklin Marie-Helene Marion |
| author_facet | Natalie Anne Watson Lucy Anne Hicklin Marie-Helene Marion |
| author_sort | Natalie Anne Watson |
| collection | DOAJ |
| description | Background: Dyspnoea is rarely mentioned in the clinical description of adult-onset isolated dystonia. In this study, we present the clinical features of 13 patients with Meige syndrome (cranio-cervical dystonia) with breathing difficulties. Methods: A retrospective case note review was performed of patients presenting with Meige syndrome and shortness of breath, to a neuro-laryngology MDT clinic. Results: Some patients were severely limited by their breathlessness, but others did not volunteer these symptoms. The majority of patients were referred with the assumption that the larynx was the cause of the problem; however half the patients did not have evidence of laryngeal involvement. Of the patients who had laryngeal involvement, injecting the larynx alone did not always relieve the dyspnoea. The majority of our patients responded to injection of the suprahyoid muscles, including genioglossus, digastric and mylohyoid. Conclusion: We recommend routinely establishing if the patient with Meige syndrome has signs or symptoms of breathlessness, and establishing the level of the problem, as this can be treated successfully. |
| first_indexed | 2024-12-22T00:06:45Z |
| format | Article |
| id | doaj.art-64a044c2a4c041d38fc43544c22b328a |
| institution | Directory Open Access Journal |
| issn | 2590-1125 |
| language | English |
| last_indexed | 2024-12-22T00:06:45Z |
| publishDate | 2021-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Parkinsonism & Related Disorders |
| spelling | doaj.art-64a044c2a4c041d38fc43544c22b328a2022-12-21T18:45:33ZengElsevierClinical Parkinsonism & Related Disorders2590-11252021-01-015100106Breathing dystonia in Meige syndromeNatalie Anne Watson0Lucy Anne Hicklin1Marie-Helene Marion2Ear, Nose & Throat Department, St George’s Hospital, London, United KingdomEar, Nose & Throat Department, St George’s Hospital, London, United KingdomCorresponding author.; Ear, Nose & Throat Department, St George’s Hospital, London, United KingdomBackground: Dyspnoea is rarely mentioned in the clinical description of adult-onset isolated dystonia. In this study, we present the clinical features of 13 patients with Meige syndrome (cranio-cervical dystonia) with breathing difficulties. Methods: A retrospective case note review was performed of patients presenting with Meige syndrome and shortness of breath, to a neuro-laryngology MDT clinic. Results: Some patients were severely limited by their breathlessness, but others did not volunteer these symptoms. The majority of patients were referred with the assumption that the larynx was the cause of the problem; however half the patients did not have evidence of laryngeal involvement. Of the patients who had laryngeal involvement, injecting the larynx alone did not always relieve the dyspnoea. The majority of our patients responded to injection of the suprahyoid muscles, including genioglossus, digastric and mylohyoid. Conclusion: We recommend routinely establishing if the patient with Meige syndrome has signs or symptoms of breathlessness, and establishing the level of the problem, as this can be treated successfully.http://www.sciencedirect.com/science/article/pii/S2590112521000189Breathing dystoniaMeige syndromeDyspnoeaRespiratorySupra-hyoid musclesLaryngeal dystonia |
| spellingShingle | Natalie Anne Watson Lucy Anne Hicklin Marie-Helene Marion Breathing dystonia in Meige syndrome Clinical Parkinsonism & Related Disorders Breathing dystonia Meige syndrome Dyspnoea Respiratory Supra-hyoid muscles Laryngeal dystonia |
| title | Breathing dystonia in Meige syndrome |
| title_full | Breathing dystonia in Meige syndrome |
| title_fullStr | Breathing dystonia in Meige syndrome |
| title_full_unstemmed | Breathing dystonia in Meige syndrome |
| title_short | Breathing dystonia in Meige syndrome |
| title_sort | breathing dystonia in meige syndrome |
| topic | Breathing dystonia Meige syndrome Dyspnoea Respiratory Supra-hyoid muscles Laryngeal dystonia |
| url | http://www.sciencedirect.com/science/article/pii/S2590112521000189 |
| work_keys_str_mv | AT natalieannewatson breathingdystoniainmeigesyndrome AT lucyannehicklin breathingdystoniainmeigesyndrome AT mariehelenemarion breathingdystoniainmeigesyndrome |