Parry-Romberg syndrome with hemimasticatory spasm in pregnancy; A dystonia mimic
| Autor: | Shaily Singh, Godhavarma Gopinath, Akhila Kumar Panda |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Pediatrics Hemimasticatory spasm Case Report lcsh:RC321-571 030218 nuclear medicine & medical imaging 03 medical and health sciences Clinching 0302 clinical medicine Atrophy Tongue medicine hemifacial spasm lcsh:Neurosciences. Biological psychiatry. Neuropsychiatry Dystonia Parry-Romberg syndrome Pregnancy jaw dystonia business.industry General Neuroscience Parry–Romberg syndrome Carbamazepine medicine.disease Surgery stomatognathic diseases medicine.anatomical_structure Neurology (clinical) business 030217 neurology & neurosurgery medicine.drug Hemifacial spasm |
| Zdroj: | Journal of Neurosciences in Rural Practice Journal of Neurosciences in Rural Practice, Vol 5, Iss 02, Pp 184-186 (2014) |
| ISSN: | 0976-3155 0976-3147 |
| DOI: | 10.4103/0976-3147.131675 |
| Popis: | Parry-Romberg syndrome (PRS) with hemimasticatory spasm (HMS) is quite an uncommon overlapping phenomenon which very often mimics jaw closing dystonia. A previously healthy 35-year-old female, during her 5 th month of pregnancy started developing intermittent unilateral painful spasms of jaw while conversation, clinching of teeth, or eating, which led to frequent tongue bites. The spasms were worsened during pregnancy. She used to do certain manoeuvre like sensory tricks in form of touching involved side of the face to relieve the symptoms. Apart from this, she developed progressive hemifacial and hemitongue atrophy. Other medical and neurological examinations were normal. Laboratory investigations as well as neuroimaging were noncontributory. The spasm responded to carbamazepine but hemifacial atrophy persists. To our best knowledge, onset and worsening of this syndrome in pregnancy has not been described earlier which might be correlated either with some hormonal imbalance or some unknown mechanisms. |
| Databáze: | OpenAIRE |
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