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Breathing dystonia in Meige syndrome
BACKGROUND: Dyspnoea is rarely mentioned in the clinical description of adult-onset isolated dystonia. In this study, we present the clinical features of 13 patients with Meige syndrome (cranio-cervical dystonia) with breathing difficulties. METHODS: A retrospective case note review was performed of...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8436071/ https://www.ncbi.nlm.nih.gov/pubmed/34541486 http://dx.doi.org/10.1016/j.prdoa.2021.100106 |
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author | Watson, Natalie Anne Hicklin, Lucy Anne Marion, Marie-Helene |
author_facet | Watson, Natalie Anne Hicklin, Lucy Anne Marion, Marie-Helene |
author_sort | Watson, Natalie Anne |
collection | PubMed |
description | BACKGROUND: Dyspnoea is rarely mentioned in the clinical description of adult-onset isolated dystonia. In this study, we present the clinical features of 13 patients with Meige syndrome (cranio-cervical dystonia) with breathing difficulties. METHODS: A retrospective case note review was performed of patients presenting with Meige syndrome and shortness of breath, to a neuro-laryngology MDT clinic. RESULTS: Some patients were severely limited by their breathlessness, but others did not volunteer these symptoms. The majority of patients were referred with the assumption that the larynx was the cause of the problem; however half the patients did not have evidence of laryngeal involvement. Of the patients who had laryngeal involvement, injecting the larynx alone did not always relieve the dyspnoea. The majority of our patients responded to injection of the suprahyoid muscles, including genioglossus, digastric and mylohyoid. CONCLUSION: We recommend routinely establishing if the patient with Meige syndrome has signs or symptoms of breathlessness, and establishing the level of the problem, as this can be treated successfully. |
format | Online Article Text |
id | pubmed-8436071 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-84360712021-09-17 Breathing dystonia in Meige syndrome Watson, Natalie Anne Hicklin, Lucy Anne Marion, Marie-Helene Clin Park Relat Disord Original Article BACKGROUND: Dyspnoea is rarely mentioned in the clinical description of adult-onset isolated dystonia. In this study, we present the clinical features of 13 patients with Meige syndrome (cranio-cervical dystonia) with breathing difficulties. METHODS: A retrospective case note review was performed of patients presenting with Meige syndrome and shortness of breath, to a neuro-laryngology MDT clinic. RESULTS: Some patients were severely limited by their breathlessness, but others did not volunteer these symptoms. The majority of patients were referred with the assumption that the larynx was the cause of the problem; however half the patients did not have evidence of laryngeal involvement. Of the patients who had laryngeal involvement, injecting the larynx alone did not always relieve the dyspnoea. The majority of our patients responded to injection of the suprahyoid muscles, including genioglossus, digastric and mylohyoid. CONCLUSION: We recommend routinely establishing if the patient with Meige syndrome has signs or symptoms of breathlessness, and establishing the level of the problem, as this can be treated successfully. Elsevier 2021-08-28 /pmc/articles/PMC8436071/ /pubmed/34541486 http://dx.doi.org/10.1016/j.prdoa.2021.100106 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). |
spellingShingle | Original Article Watson, Natalie Anne Hicklin, Lucy Anne Marion, Marie-Helene Breathing dystonia in Meige syndrome |
title | Breathing dystonia in Meige syndrome |
title_full | Breathing dystonia in Meige syndrome |
title_fullStr | Breathing dystonia in Meige syndrome |
title_full_unstemmed | Breathing dystonia in Meige syndrome |
title_short | Breathing dystonia in Meige syndrome |
title_sort | breathing dystonia in meige syndrome |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8436071/ https://www.ncbi.nlm.nih.gov/pubmed/34541486 http://dx.doi.org/10.1016/j.prdoa.2021.100106 |
work_keys_str_mv | AT watsonnatalieanne breathingdystoniainmeigesyndrome AT hicklinlucyanne breathingdystoniainmeigesyndrome AT marionmariehelene breathingdystoniainmeigesyndrome |