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Clinics and Practice
Volume 6
Issue 3
10.4081/cp.2016.862
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Clinics and Practice is published by MDPI from Volume 11 Issue 1 (2021). Previous articles were published by another publisher in Open Access under a CC-BY (or CC-BY-NC-ND) licence, and they are hosted by MDPI on mdpi.com as a courtesy and upon agreement with PAGEPress.
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Case Report

Oromandibular Dystonia: A Case Report of the Lateral Pterygoid Muscle Involvement and Treatment with Botulinum Toxin A

by
Athanasia Alexoudi
1,*,
Zoi Dalivigka
1,2,
Anna Siatouni
1,
Anastasia Verentzioti
1 and
Stylianos Gatzonis
1
1
Department of Neurosurgery, University of Athens, School of Medicine, Evangelismos Hospital, 10676 Athens, Greece
2
Intervention and Rehabilitation Unit, Athens General Children’s Hospital Pan. & Aglaia Kyriakou, 10676 Athens, Greece
*
Author to whom correspondence should be addressed.
Clin. Pract. 2016, 6(3), 862; https://doi.org/10.4081/cp.2016.862
Submission received: 11 May 2016 / Revised: 27 August 2016 / Accepted: 22 September 2016 / Published: 10 October 2016

Abstract

The objective of the present case report is to punctuate the importance of individualized therapy procedures and the accurate diagnosis of the muscles involved in oromandibular dystonia and underline the role of electromyography (EMG). We report a woman who presented sustained jaw movement towards the left, severe difficulty in jaw opening and jaw protrusion. The patient was treated with injections of botulinum A toxin in lateral pterygoid, masseter, platysma, sternoclidomastoid, temporalis muscles with EMG guidance. She experienced an 80% reduction of her symptoms after the first injection. In jaw deviation dystonia symptoms impressively respond to botulinum toxin treatment of the pterygoid muscle. Individualized therapy procedures are necessitated.
Keywords: oromandibular dystonia; lateral pterygoid muscle; botulinum toxin oromandibular dystonia; lateral pterygoid muscle; botulinum toxin

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MDPI and ACS Style

Alexoudi, A.; Dalivigka, Z.; Siatouni, A.; Verentzioti, A.; Gatzonis, S. Oromandibular Dystonia: A Case Report of the Lateral Pterygoid Muscle Involvement and Treatment with Botulinum Toxin A. Clin. Pract. 2016, 6, 862. https://doi.org/10.4081/cp.2016.862

AMA Style

Alexoudi A, Dalivigka Z, Siatouni A, Verentzioti A, Gatzonis S. Oromandibular Dystonia: A Case Report of the Lateral Pterygoid Muscle Involvement and Treatment with Botulinum Toxin A. Clinics and Practice. 2016; 6(3):862. https://doi.org/10.4081/cp.2016.862

Chicago/Turabian Style

Alexoudi, Athanasia, Zoi Dalivigka, Anna Siatouni, Anastasia Verentzioti, and Stylianos Gatzonis. 2016. "Oromandibular Dystonia: A Case Report of the Lateral Pterygoid Muscle Involvement and Treatment with Botulinum Toxin A" Clinics and Practice 6, no. 3: 862. https://doi.org/10.4081/cp.2016.862

APA Style

Alexoudi, A., Dalivigka, Z., Siatouni, A., Verentzioti, A., & Gatzonis, S. (2016). Oromandibular Dystonia: A Case Report of the Lateral Pterygoid Muscle Involvement and Treatment with Botulinum Toxin A. Clinics and Practice, 6(3), 862. https://doi.org/10.4081/cp.2016.862

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