Abstract
Meige syndrome refers to the combination of blepharospasm and orofacial dystonia. The term is mainly of historical interest having been described by Henry Meige in 1910 but described by others prior to that including the Flemish painter Pieter Bruegel the elder who portrayed affected individuals in several of his paintings. Marsden suggested that blepharospasm-oromandibular dystonia, like other adult-onset focal dystonias, is a partial expression of primary dystonia and currently is considered to be one of several forms of adult-onset focal dystonia. It is important to recognize that many patients who display blepharospasm with orofacial dyskinesia are manifesting semi-voluntary movements of their lower face in a struggle to keep their eyes open.
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References
Meige H. Les convulsions de la face: une forme Clinique de convulsions facials, bilaterale et mediane. Rev Neurol (Paris). 1910;21:437–43.
Marsden C. David Blepharospasm-oromandibular dystonia syndrome (Bruegel’s syndrome): a variant of adult-onset torsion dystonia? J Neurol Neurosurg Psychiatry. 1976;59:1204–9.
Tolosa ES, Klawans HL. Meige’s disease: a clinical form of facial convulsion, bilateral and medial. Arch Neurol. 1979;36:635–7.
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The patient exhibits involuntary blepharospasm, lower facial grimacing, and anterocollis.
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Bhidayasiri, R., Tarsy, D. (2012). Meige’s Syndrome. In: Movement Disorders: A Video Atlas. Current Clinical Neurology. Humana, Totowa, NJ. https://doi.org/10.1007/978-1-60327-426-5_49
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DOI: https://doi.org/10.1007/978-1-60327-426-5_49
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Publisher Name: Humana, Totowa, NJ
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