A case of conversion disorder presenting as chronic trismus.

Autor: Merrill RL; School of Dentistry, University of California, Los Angele, USA., Goodman D; Clinician, UCLA Orofacial Pain Department, Los Angele, USA., Chamani G; Department of Oral Medicine, Orofacial Pain Clinic, Kerman School of Dentistry, Kerman, Iran., Shabani M; Neuroscience Research Center, Neuropharmacology Institute, Kerman University of Medical Sciences, Kerman, Iran.
Jazyk: angličtina
Zdroj: Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry [Spec Care Dentist] 2024 Jan-Feb; Vol. 44 (1), pp. 130-135. Date of Electronic Publication: 2023 Apr 07.
DOI: 10.1111/scd.12860
Abstrakt: Trismus can be the symptom of several diseases. For the most part, the inability to open the mouth is due to an articular disorder but occasionally, the cause may be extra-articular. In this case, being reported, non-articular hysterical trismus caused the jaw to lock in an 11-year-old boy for 3 months. During this period the jaw was completely locked and the locking was associated with moderate to severe pain. After three sessions of therapy the patient was able to open his mouth 33 mm and his eating was back to normal. Conversion disorders often present with dramatic physical presentation including trismus and jaw lock. This report highlights the importance of complete history taking and a thorough clinical examination to make a correct diagnosis in a patient with trismus.
(© 2023 Special Care Dentistry Association and Wiley Periodicals LLC.)
Databáze: MEDLINE
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