Psychogenic blepharospasm associated with Meige’s syndrome: a case report
Autor: | Levent Sevincok, Çağdaş Öykü Memiş, Gulgez Kerimova, Mustafa Kurt, Bilge Dogan, Doga Sevincok |
---|---|
Rok vydání: | 2017 |
Předmět: |
medicine.medical_specialty
Blepharospasm Neurosciences. Biological psychiatry. Neuropsychiatry 050109 social psychology Neurological examination Meige's syndrome 03 medical and health sciences 0302 clinical medicine medicine Psychogenic disease 0501 psychology and cognitive sciences Pharmacology (medical) somatoform disorder Meige’s syndrome Conversion disorder Dystonia medicine.diagnostic_test business.industry conversion disorder 05 social sciences Oromandibular dystonia medicine.disease Dermatology Botulinum toxin eye diseases Psychiatry and Mental health dystonia medicine.symptom business 030217 neurology & neurosurgery RC321-571 medicine.drug |
Zdroj: | Psychiatry and Clinical Psychopharmacology, Vol 28, Iss 2, Pp 224-226 (2018) |
ISSN: | 2475-0581 2475-0573 |
DOI: | 10.1080/24750573.2017.1400935 |
Popis: | Here we report a patient who presented a co-occurrence of Meige’s syndrome and psychogenic blepharospasm. At the first assessments, neurologists excluded conversion disorder because of the presence of a conflict and stress, absence of any markers for Meige’s syndrome, and a non-response to Botulinum toxin treatment. We determined bilateral blepharospasm, and oromandibular dystonia by neurological examination and EMG. The patient was diagnosed as primary Meige’s syndrome by the neurologists. Blepharospasm, which is triggered by emotional stress, caused secondary gains against her family. We decided that the patient had both psychogenic blepharospasm and Meige’s syndrome, which co-occurred nearly at the same interval three years ago. Similar to the seizure–pseudoseizure association, we supposed that Meige’s syndrome and concomitant psychogenic blepharospasm may indicate a coexistence of medical and conversion symptoms as in epileptic patients. |
Databáze: | OpenAIRE |
Externí odkaz: |