Oromandibular dystonia (OMD) is a rare neuromuscular disorder characterized by involuntary
repetitive muscular contraction affecting different parts of the oromandibular region.
Its various physical manifestations can be extremely debilitating and socially disabling
to affected patients. To date, there is no commonly accepted set of diagnostic criteria
nor well-defined management pathways. This paper aims to discuss some aspects of clinical
manifestations, diagnostic criteria, neurological mechanisms, and treatment options
for OMD, with illustrations from 6 clinical cases.
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Oral Surgery, Oral Medicine, Oral Pathology and Oral RadiologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Kumar P. Clark M. Clinical medicine. 6th ed. Saunders, Philadelphia, PA2005: 1227
- Oral dyskinesia: a clinical overview.Inter J Prosth. 2005; 18: 10-19
- Concept and classification of dystonia.Adv Neurol. 1988; 50: 1-8
- Evaluation and treatment of dystonia.South Med J. 2000; 93: 746-751
- Botulinum toxin type A in the management of oromandibular dystonia and bruxism.in: Scientific and therapeutic aspects of Botulinum toxin. Lippincott Williams & Wilkins, Philadelphia, PA2002: 1-12
American Association of Neurological Surgeons. Available from: NeurosurgeryToday.org. Accessed December 2006.
- Tardive and idiopathic oromandibular dystonia: a clinical comparison.J Neurol Neurosurg Psychiatry. 2000; 68: 186-190
- Peripherally induced oromandibular dystonia.J Neurol Neurosurg Psychiatry. 1998; 65: 722-728
- Prevalence of spontaneous oral dyskinesia in the elderly: a reappraisal.Mov Disord. 2004; 19: 892-896
- Dystonia and tremor induced by peripheral trauma: predisposing factors.J Neurol Neurosurg Psychiatry. 1988; 41: 1088-1091
- Cervical dystonia: clinical findings and associated movement disorders.Neurology. 1991; 41: 1088-1091
- Muscle afferent block in the treatment of oromandibular dystonia.Nervenartz. 2003; 74: 516-522
- Is dystonia a sensory disorder?.Ann Neurol. 1995; 38: 139-141
- Atypical and typical cranial dystonia following dental procedures.Move Dis. 1999; 14: 492-496
- Phenomenology and psychopathology related to psychogenic movement disorders.Adv Neurol. 1995; 65: 231-257
- Psychogenic dystonia: a review of 18 cases.Can J Neurol Sci. 1995; 22: 136-143
- Psychogenic dystonia.Adv Neurol. 1988; 50: 431-455
- Clozapine treatment in oromandibular dystonia.Clin Neuropharmacol. 2004; 27: 84-86
- Medical therapy and botulinum toxin in dystonia.Adv Neurol. 1998; 78: 169-183
- Levodop-induced oromandibular dystonia in progressive supranuclear palsy.Clin Neurol Neurosurg. 2003; 105: 132-134
- Factors influencing the therapeutic effect of muscle afferent block for oromandibular dystonia and dyskinesia.Int J Oral Maxillofac Surg. 2002; 31: 499-505
- Sensory tricks in cervical dystonia: perceptual dysbalance of parietal cortex modulates frontal motor programming.Ann Neurol. 2001; 47: 322-328
Article info
Publication history
Published online: August 07, 2007
Accepted:
April 2,
2007
Received in revised form:
February 12,
2007
Received:
December 5,
2006
Identification
Copyright
© 2007 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
