A Rare Case of Spontaneous Peri Oral Dyskinesia: Case Report with Literature Review

K. Saraswathi Gopal

Department of Oral Medicine and Radiology, Faculty of Dentistry, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research Institute, Tamil Nadu, India.

Arathy S. Lankupalli

Department of Oral Medicine and Radiology, Faculty of Dentistry, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research Institute, Tamil Nadu, India.

S. Priyadharshini *

Department of Oral Medicine and Radiology, Faculty of Dentistry, Meenakshi Ammal Dental College and Hospital, Meenakshi Academy of Higher Education and Research Institute, Tamil Nadu, India.

*Author to whom correspondence should be addressed.


Abstract

Dyskinesia is an abnormality or impairment of voluntary movement affecting any part of the body. Orofacial dyskinesia involves uncontrolled, stereotypic, paroxysmal movement affecting the face, lips, tongue, jaws or in combination which may lead to severe pain. These involuntary movements are commonly associated with chronic antipsychotic drug usage. But when the dyskinesia occurs with no drug history it is called idiopathic or spontaneous oral dyskinesia. The diagnosis of Spontaneous oral dyskinesia is purely made based on thorough history, precise clinical findings, and necessary investigations to rule out neurological cause. Early management is essential to prevent the Temporomandibular joint and oro-dental complication. Medical management is the first line of treatment in these patients. The following is a clinical diagnostic case report of Spontaneous oral dyskinesia with presenting signs and symptoms, history and examination characteristic of the condition and investigation with successful management.

Keywords: Spontaneous peri oral dyskinesia, tardive dyskinesia, idiopathic, muscle contraction, mandibular disorders


How to Cite

Gopal, K. Saraswathi, Arathy S. Lankupalli, and S. Priyadharshini. 2022. “A Rare Case of Spontaneous Peri Oral Dyskinesia: Case Report With Literature Review”. International Journal of Research and Reports in Dentistry 5 (2):177-81. https://www.journalijrrd.com/index.php/IJRRD/article/view/144.

Downloads

Download data is not yet available.

References

Blanchet PJ, Rompré PH, Lavigne GJ, Lamarche C. Oral dyskinesia: A clinical overview. Int J Prosthodont. 2005 Jan-Feb;18(1):10-9.

Fukasawa T, Takahashi M, Otani K. A successful clonazepam treatment without tolerance in a patient with spontaneous oral dyskinesia. Prog Neuropsychopharmacol Biol Psychiatry. 2001 Oct;25(7):1477-80.

Skármeta NP, Espinoza-Mellado P, Chana P. Orofacial Dystonia and other Oromandibular movement disorders. Dystonia - Different Prospects; 2018.

DOI: 10.5772/intechopen.78607

Balasubramaniam R, Ram S. Orofacial movement disorders. Oral Maxillofac Surg Clin North Am. 2008 May;20(2):273-85, vii.

DOI: 10.1016/j.coms.2007.12.010

PMID: 18343330

Kobayashi RM. Orofacial dyskinesia. Clinical features, mechanisms and drug therapy. West J Med. 1976 Oct;125(4): 277-88.

PMID: 23611;

PMCID: PMC1237309

Torrey EF. Studies of individuals with schizophrenia never treated with antipsychotic medications: A review. Schizophr Res. 2002 Dec 1;58(2-3):101-15.

DOI: 10.1016/s0920-9964(02)00381-x

PMID: 12409150.

Owens DG, Johnstone EC, Frith CD. Spontaneous involuntary disorders of movement: Their prevalence, severity, and distribution in chronic schizophrenics with and without treatment with neuroleptics. Archives of General Psychiatry. Apr. 1982; 39(4):452-461.

Barnes TR, Rossor M, Trauer T. A comparison of purposeless movements in psychiatric patients treated with antipsychotic drugs, and normal individuals. Journal of Neurology, Neurosurgery, and Psychiatry. Jun. 1983; 46(6):540-546.

Blanchet PJ, Abdillahi O, Beauvais C, Rompré PH, Lavigne GJ. Prevalence of spontaneous oral dyskinesia in the elderly: A reappraisal. Mov Disord. 2004 Aug; 19(8):892-6.

Blowers AJ, Borison RL, Blowers CM, Bicknell DJ. Abnormal involuntary movements in the elderly. The British Journal of Psychiatry: The Journal of Mental Science. Oct. 1981;139:363-364.

Blowers AJ, Borison RL. Dyskinesias in the geriatric population. Brain Research Bulletin. Aug. 1983;11(2):175-178.

Kane JM, Weinhold P, Kinon B, Wegner J, Leader M. Prevalence of abnormal involuntary movements (‘spontaneous dyskinesias’) in the normal elderly. Psychopharmacology. 1982;77(2):105-108.

D’Alessandro R, Benassi G, Cristina E, Gallassi R, Manzaroli D. The prevalence of lingual-facial-buccal dyskinesias in the elderly. Neurology. Oct. 1986;36(10):1350-1351.

Altrocchi PH, Forno LS. Spontaneous oral-facial dyskinesia: Neuropathology of a case. Neurology. 1983 Jun;33(6):802-5.

DOI: 10.1212/wnl.33.6.802

PMID: 6682529.

Michael, Glick. Burket's Oral Medicine, Twelfth Edition (12th.Ed). USA: PMPH -USA. 2015;308.

Clark GT, Ram S. Four oral motor disorders: Bruxism, dystonia, dyskinesia and drug-induced dystonic extrapyramidal reactions. Dent Clin North Am. 2007 Jan;51(1):225-43, viii-ix.