Orofacial dyskinesia

80 Orofacial dyskinesia

Instruction

Look at this patient.

Salient features

History

• Ask the patient about removal of teeth and how long the patient has been edentulous

• History of date of onset and duration

• Drug history (phenothiazines, levodopa and related drugs).

Examination

• Smacking, chewing or chomping movement of the lips, seen particularly in elderly patients; it usually involves the masticatory, lower facial and tongue muscles.

Proceed as follows:

• Comment if the patient is edentulous (Ann Neurol 1983;13:97).

Remember: Orofacial dyskinesia is defined as involuntary, repetitive, stereotypical movement of the face, tongue and jaw that may be painful.

Diagnosis

This patient has orofacial dyskinesia (lesion) caused by phenothiazines (aetiology) and is in considerable distress (functional status).

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Tags: 250 Cases in Clinical Medicine

Dec 4, 2016 | Posted by admin in GENERAL & FAMILY MEDICINE | Comments Off

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