A Case Report of Cervical Dystonia Complicated by Oromandibular Dystonia

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  • FUKAYA KENICHI
    Department of Oral and Maxillofacial Surgery, Division of Medicine, Graduate Faculty of Interdisciplinary Research University of Yamanashi
  • TUNODA TATUYA
    Department of Oral and Maxillofacial Surgery, Division of Medicine, Graduate Faculty of Interdisciplinary Research University of Yamanashi
  • TAKAYAMA AKIHIRO
    Department of Oral and Maxillofacial Surgery, Division of Medicine, Graduate Faculty of Interdisciplinary Research University of Yamanashi
  • SAITOU YUUKI
    Department of Oral and Maxillofacial Surgery, Division of Medicine, Graduate Faculty of Interdisciplinary Research University of Yamanashi
  • HIRAIDE RYOTA
    Department of Oral and Maxillofacial Surgery, Division of Medicine, Graduate Faculty of Interdisciplinary Research University of Yamanashi
  • SAIDA YURIKO
    Department of Oral and Maxillofacial Surgery, Division of Medicine, Graduate Faculty of Interdisciplinary Research University of Yamanashi
  • HOTTA ASAMI
    Department of Oral and Maxillofacial Surgery, Division of Medicine, Graduate Faculty of Interdisciplinary Research University of Yamanashi
  • MOROI AKINORI
    Department of Oral and Maxillofacial Surgery, Division of Medicine, Graduate Faculty of Interdisciplinary Research University of Yamanashi
  • YOSHIZAWA KUNIO
    Department of Oral and Maxillofacial Surgery, Division of Medicine, Graduate Faculty of Interdisciplinary Research University of Yamanashi
  • UEKI KOICHIRO
    Department of Oral and Maxillofacial Surgery, Division of Medicine, Graduate Faculty of Interdisciplinary Research University of Yamanashi

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Other Title
  • 顎口腔ジストニアを併発した頸部ジストニアの1例

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Description

Here, we report a case of stiff neck as a symptom of cervical dystonia and oromandibular dystonia as a symptom of trismus. The patient was a 37-year-old male who was examined at a nearby dental clinical after noticing some stiffness of the neck and trismus at the same time. However, the cause was unknown and the symptoms were neglected. Thereafter, the symptoms worsened and mouth opening became strongly restricted, making dental treatment impossible. He was thus referred to our institution where he was examined. The maximum mouth opening at the first examination was 28mm. He received mouth opening training, and at the mental department, the dose of tranquilizer was reduced and he was treated with a muscle relaxant. Presently, the maximum mouth opening has improved to 40mm and his progress is under observation.

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