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Original Articles
Impact of Upper Eyelid Surgery on Symptom Severity and Frequency in Benign Essential Blepharospasm
Hannah Mary Timlin, Kailun Jiang, Daniel George Ezra
J Mov Disord. 2021;14(1):53-59.   Published online January 12, 2021
DOI: https://doi.org/10.14802/jmd.20075
  • 4,957 View
  • 105 Download
  • 1 Web of Science
  • 2 Crossref
AbstractAbstract PDF
Objective
To assess the impact of periocular surgery, other than orbicularis stripping, on the severity and frequency of blepharospasm symptoms.
Methods
Consecutive patients with benign essential blepharospasm (BEB) who underwent eyelid/eyebrow surgery with the aim of improving symptoms were retrospectively reviewed over a 5-year period. Patients who had completed the Jankovic Rating Scale (JRS) and Blepharospasm Disability Index (BDI) pre- and at least 3 months postoperatively were included.
Results
Twenty-four patients were included. JRS scores significantly improved from 7.0 preoperatively to 4.1 postoperatively (p < 0.001), and BDI scores significantly improved from 18.4 preoperatively to 12.7 postoperatively (p < 0.001); the mean percentage improvements were 41% and 30%, respectively. Patients were followed for a median of 24 months postoperatively.
Conclusion
Periocular surgery significantly reduced BEB symptoms in the majority (83%) of patients by an average of 33% and may therefore be offered for suitable patients. An important minority (17%) of patients experienced symptom worsening.

Citations

Citations to this article as recorded by  
  • The long-term response to botulinum toxin injections in patients with blepharospasm undergoing upper eyelid surgery
    Assunta Trinchillo, Nunzia Cuomo, Francesco Habetswallner, Marcello Esposito
    Parkinsonism & Related Disorders.2024; 119: 105958.     CrossRef
  • Blepharospasm Secondary to Deep Brain Stimulation of the Subthalamic Nucleus in Parkinson Disease: Clinical Characteristics and Management Outcomes
    Michelle A. Ting, Alexandra I. Manta, Emma Samia-Aly, Michelle Lai, Emanuel R. de Carvalho, Philip Buttery, Daniel G. Ezra
    Journal of Neuro-Ophthalmology.2023;[Epub]     CrossRef
Sensory Trick Frames: A New Device for Blepharospasm Patients
Daniele Lorenzano, Steven Tansley, Daniel G. Ezra
J Mov Disord. 2019;12(1):22-26.   Published online January 16, 2019
DOI: https://doi.org/10.14802/jmd.18010
  • 8,706 View
  • 184 Download
  • 6 Web of Science
  • 7 Crossref
AbstractAbstract PDF
Objective
To determine whether the use of unique customized spectacles provided with modified side arms may be helpful in reducing benign essential blepharospasm (BEB) in patients describing periocular sensory tricks (ST).
Methods
A prospective descriptive study of patients with BEB with positive periocular or temporal region ST phenomenon response under the care of the Botox Clinic at Moorfields Eye Hospital, London, UK. Nine consecutive patients with BEB describing ST were recruited, and the disease frequency and severity were assessed with the Jankovic Rating Scale (JRS) and the Blepharospasm Disability Index (BSDI) before and after the use of the sensory trick frames (STF).
Results
A reduction in the score was noted in both severity (p = 0.0115) and frequency patterns (p = 0.0117) in the JRS in patients using the STF. A significant reduction of the BSDI score was also observed (p = 0.0314).
Conclusion
All the patients selected and fitted with the STF had a reduction in spasms and related symptoms. This new device may be helpful in some selected BEB patients who previously responded positively to periocular pressure alleviating maneuvers.

Citations

Citations to this article as recorded by  
  • Electrically Induced Sensory Trick in a Patient with Musician’s Dystonia: A Case Report
    Daisuke Nishida, Katsuhiro Mizuno, Osamu Takahashi, Meigen Liu, Tetsuya Tsuji
    Brain Sciences.2023; 13(2): 223.     CrossRef
  • Evaluation of Blepharoptosis in Patients With Refractory Blepharospasm by VISA—Video Recordings, Idiosyncratic Expressions, Sensory Tricks, and Ancillary Procedures
    Chung-Sheng Lai, Savitha Ramachandran, Chia-Chen Lee, Ya-Wei Lai, Yang-Pei Chang, Shu-Hung Huang
    Annals of Plastic Surgery.2023; 90(5S): S172.     CrossRef
  • Variability of Movement Disorders: The Influence of Sensation, Action, Cognition, and Emotions
    Rok Berlot, John C. Rothwell, Kailash P. Bhatia, Maja Kojović
    Movement Disorders.2021; 36(3): 581.     CrossRef
  • Impact of Upper Eyelid Surgery on Symptom Severity and Frequency in Benign Essential Blepharospasm
    Hannah Mary Timlin, Kailun Jiang, Daniel George Ezra
    Journal of Movement Disorders.2021; 14(1): 53.     CrossRef
  • Benign essential blepharospasm: epidemiology, clinical manifestations, pathophysiology, botulinum toxin therapy
    Z. A. Zalyalova
    Neurology, Neuropsychiatry, Psychosomatics.2021; 13(1): 119.     CrossRef
  • Best Practices in the Clinical Management of Progressive Supranuclear Palsy and Corticobasal Syndrome: A Consensus Statement of the CurePSP Centers of Care
    Brent Bluett, Alexander Y. Pantelyat, Irene Litvan, Farwa Ali, Diana Apetauerova, Danny Bega, Lisa Bloom, James Bower, Adam L. Boxer, Marian L. Dale, Rohit Dhall, Antoine Duquette, Hubert H. Fernandez, Jori E. Fleisher, Murray Grossman, Michael Howell, Di
    Frontiers in Neurology.2021;[Epub]     CrossRef
  • Ocular motor manifestations of movement disorders
    Grace F. Crotty, Bart K. Chwalisz
    Current Opinion in Ophthalmology.2019; 30(6): 443.     CrossRef
Transfer Dysphagia Due to Focal Dystonia
Priyanka Samal, Vinay Goyal, Govind K Makharia, Chandan J Das, Sankar Prasad Gorthi, Vishnu V Y, Mamta Bhushan Singh, M V Padma Srivastava
J Mov Disord. 2018;11(3):129-132.   Published online September 30, 2018
DOI: https://doi.org/10.14802/jmd.17081
  • 7,155 View
  • 125 Download
  • 1 Web of Science
  • 2 Crossref
AbstractAbstract PDFSupplementary Material
Objective
The inability to propel a bolus of food successfully from the posterior part of the oral cavity to the oropharynx is defined as transfer dysphagia. The present case series describes the varied presentation of transfer dysphagia due to focal dystonia and highlights the importance of early detection by following up on strong suspicions.
Methods
We describe seven cases of transfer dysphagia due to focal dystonia. Transfer dysphagia as a form of focal dystonia may appear as the sole presenting complaint or may present with other forms of focal dystonia.
Results
Four out of seven patients had pure transfer dysphagia and had previously been treated for functional dysphagia. A high index of suspicion, barium swallow including videofluoroscopy, associated dystonia in other parts of the body and response to drug therapy with trihexyphenidyl/tetrabenazine helped to confirm the diagnosis.
Conclusion
Awareness of these clinical presentations among neurologists and non-neurologists can facilitate an early diagnosis and prevent unnecessary investigations.

Citations

Citations to this article as recorded by  
  • EXCESSIVE CRYING IN CHILDREN WITH CEREBRAL PALSY AND COMMUNICATION DEFICITS
    Nagabhushana Rao Potharaju
    GLOBAL JOURNAL FOR RESEARCH ANALYSIS.2022; : 25.     CrossRef
  • Oro-Pharyngeal Dysphagia in Parkinson’s Disease and Related Movement Disorders
    Miseon Kwon, Jae-Hong Lee
    Journal of Movement Disorders.2019; 12(3): 152.     CrossRef
Oromandibular Dystonia: Demographics and Clinical Data from 240 Patients
Linda Slaim, Myriam Cohen, Patrick Klap, Marie Vidailhet, Alain Perrin, Daniel Brasnu, Denis Ayache, Marie Mailly
J Mov Disord. 2018;11(2):78-81.   Published online May 30, 2018
DOI: https://doi.org/10.14802/jmd.17065
  • 6,957 View
  • 226 Download
  • 21 Web of Science
  • 26 Crossref
AbstractAbstract PDF
Objective
To report demographic data from a large cohort of patients with oromandibular dystonia (OMD).
Methods
This is a retrospective review of patients with OMD referred to our institution between 1989 and 2015. Demographic (age of onset, gender, and familial history of dystonia) and clinical (type of OMD, associated dystonia, and etiology of dystonia) data were collected from a cohort of 240 individuals.
Results
The mean age of onset of OMD was 51.6 years old, with a female predominance (2:1). A family history of dystonia was found in 6 patients (2.5%). One hundred and forty-nine patients (62.1%) had the jaw-opening type of OMD, 48 patients (20.0%) had the jaw-closing type, and 43 patients (17.9%) had a mixed form of OMD. Lingual dystonia was also present in 64 (26.7%) of these patients. Eighty-two patients (34.2%) had a focal dystonia, 131 patients (54.6%) had a segmental dystonia, and 27 patients (11.3%) had a generalized dystonia. One hundred and seventy-one patients (71.3%) had idiopathic OMD.
Conclusion
OMD is a chronic and disabling focal dystonia. Our study found a prevalence of female patients, an onset in middle age and a predominantly idiopathic etiology. Unlike other studies, jaw-opening was found to be the most frequent clinical type of OMD.

Citations

Citations to this article as recorded by  
  • Surface electromyography for evaluating patients with oromandibular dystonia
    Jae-Hyung Kim, Byung-Gook Kim, Yeong-Gwan Im
    CRANIO®.2024; 42(3): 316.     CrossRef
  • Tongue dystonia as CIS and presenting symptom of multiple sclerosis
    Farid Shamlou, Narges Ebrahimi, Ahmad Chitsaz
    Neuroimmunology Reports.2024; 5: 100191.     CrossRef
  • Oromandibular dystonia: from onset to spread a multicenter italian study
    Assunta Trinchillo, Marcello Esposito, Carmen Terranova, Vincenzo Rizzo, Giovanni Fabbrini, Gina Ferrazzano, Daniele Belvisi, Roberto Erro, Paolo Barone, Francesco Bono, Francesca Di Biasio, Anna Rita Bentivoglio, Christian Lettieri, Maria Concetta Altavi
    Neurological Sciences.2024;[Epub]     CrossRef
  • Oromandibular Dystonia: Clinical and Demographic Data from Eight-Two Patients
    Mehmet Balal, Meltem Demirkiran
    Tremor and Other Hyperkinetic Movements.2023;[Epub]     CrossRef
  • Oromandibular Dystonia is a Prominent Feature in Patients with Aromatic L-Amino Acid Decarboxylase (AADC) Deficiency
    Helio van der Linden Jr., Christiane Cobas, Andre Felipe Pinto Duarte, Marcelo Rodrigues Masruha
    Journal of Inborn Errors of Metabolism and Screening.2023;[Epub]     CrossRef
  • Clinical Presentation and Management of Peripheral-induced Oromandibular Dystonia in Nigeria: A Case Report and Literature Update
    Nonso Emmanuel Onyia, Mercy Okoh, Obinna Francis Igwilo, Izegboya Vivian Ukpebor, Eze Stephen Nwauzor
    Nigerian Journal of Medicine.2023; 32(4): 433.     CrossRef
  • Oromandibular dystonia – A systematic review
    Udit Saraf, Mitesh Chandarana, KP Divya, Syam Krishnan
    Annals of Indian Academy of Neurology.2022; 25(1): 26.     CrossRef
  • Botulinum Toxin Therapy for Oromandibular Dystonia and Other Movement Disorders in the Stomatognathic System
    Kazuya Yoshida
    Toxins.2022; 14(4): 282.     CrossRef
  • Botulinum toxin injections in jaw-opening dystonia. The lateral pterygoid – maxillary artery problem
    Sena Ünal, F. Tugra Karaarslan-Turk, Muhittin Cenk Akbostanci, Elif Peker, Rezzak Yilmaz
    Journal of Clinical Neuroscience.2022; 101: 217.     CrossRef
  • Oromandibular dystonia seen during pramipexole treatment: A rare case
    Fatma KARA, Mehmet Fatih GÖL, Ayhan VARLIBAŞ
    Journal of Surgery and Medicine.2022; 6(6): 1.     CrossRef
  • Dystonia, chorea, hemiballismus and other dyskinesias
    Matteo Bologna, Josep Valls-Solè, Nitish Kamble, Pramod Kumar Pal, Antonella Conte, Andrea Guerra, Daniele Belvisi, Alfredo Berardelli
    Clinical Neurophysiology.2022; 140: 110.     CrossRef
  • Movement disorders of the mouth: a review of the common phenomenologies
    C. M. Ghadery, L. V. Kalia, B. S. Connolly
    Journal of Neurology.2022; 269(11): 5812.     CrossRef
  • Botulinum Toxin in Movement Disorders: An Update
    Charenya Anandan, Joseph Jankovic
    Toxins.2021; 13(1): 42.     CrossRef
  • Temporomandibular disorder–related characteristics and treatment outcomes in Oromandibular Dystonia patients in two different clinical settings: A cross‐sectional study
    Asha Sude, Joseph Matsumoto, Shanti Kaimal, Ashley Petersen, Donald R. Nixdorf
    Journal of Oral Rehabilitation.2021; 48(5): 542.     CrossRef
  • Jaw Pain and Oromandibular Dysfunction After a Complex Hospital Course
    Sarah Smith, Ny-Ying Lam
    American Journal of Physical Medicine & Rehabilitation.2021; 100(5): e62.     CrossRef
  • Oromandibular Dystonia: A Clinical Examination of 2,020 Cases
    Laura M. Scorr, Stewart A. Factor, Sahyli Perez Parra, Rachel Kaye, Randal C. Paniello, Scott A. Norris, Joel S. Perlmutter, Tobias Bäumer, Tatiana Usnich, Brian D. Berman, Marie Mailly, Emmanuel Roze, Marie Vidailhet, Joseph Jankovic, Mark S. LeDoux, Ric
    Frontiers in Neurology.2021;[Epub]     CrossRef
  • Evaluation of Treatment Outcomes in Oromandibular Dystonia Using Surface Electromyography: A Case Series
    Yeong-Gwan Im, Jae-Hyung Kim, Byung-Gook Kim
    Journal of Oral Medicine and Pain.2021; 46(4): 143.     CrossRef
  • Application of botulinum toxin in pregnancy and its impact on female reproductive health
    Wu Li, Min Tang
    Expert Opinion on Drug Safety.2020; 19(1): 83.     CrossRef
  • Prevalence and clinical characteristics of patients with oromandibular dystonia seen in the orofacial pain clinic: a retrospective study
    Asha Sude, Donald R. Nixdorf
    Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology.2020; 130(2): 169.     CrossRef
  • Clinical spectrum of focal dystonias: Experience from a tertiary care center
    Rupesh Prasad, Deepika Joshi, VijayN Mishra, RameshwarN Chaurasia, Abhishek Pathak
    Annals of Movement Disorders.2020; 3(2): 99.     CrossRef
  • Bite injury related to oromandibular dystonia extending to the maxillary sinus: A case report
    Yoshiro Koma, Takehiro Fujimoto, Shinji Uejima, Kotaro Sato, Keisuke Sugimoto, Satoshi Yamaguchi, Jun Ishikawa, Kazuya Nambu, Hideharu Hibi
    Journal of Oral and Maxillofacial Surgery, Medicine, and Pathology.2020; 32(6): 503.     CrossRef
  • Botulinum neurotoxin a therapy efficacy and safety for oromandibular dystonia: a meta-analysis
    Pariessa D. Dadgardoust, Raymond L. Rosales, Ria Monica Asuncion, Dirk Dressler
    Journal of Neural Transmission.2019; 126(2): 141.     CrossRef
  • Botulinum Neurotoxin Therapy for Lingual Dystonia Using an Individualized Injection Method Based on Clinical Features
    Kazuya Yoshida
    Toxins.2019; 11(1): 51.     CrossRef
  • Oromandibular dystonia, mental distress and oro‐facial dysfunction—A follow‐up 8‐10 years after start of treatment with botulinum toxin
    Merete Bakke, Sara Baram, Torben Dalager, Heidi Bryde Biernat, Eigild Møller
    Journal of Oral Rehabilitation.2019; 46(5): 441.     CrossRef
  • Pseudodystonia: A new perspective on an old phenomenon
    Rok Berlot, Kailash P. Bhatia, Maja Kojović
    Parkinsonism & Related Disorders.2019; 62: 44.     CrossRef
  • Severe Jaw‐Opening Dystonia as an Unusual Manifestation of Levodopa‐Related Wearing‐Off in Parkinson's Disease, and Successful Treatment With Botulinum Toxin Injection
    Pankaj Ashok Agarwal
    Movement Disorders Clinical Practice.2019; 6(6): 500.     CrossRef

JMD : Journal of Movement Disorders