Permanent bruxism as a manifestation of the oculo-facial syndrome related to systemic Whipple's disease.
We report here a new case of oculomasticatory syndrome related to systemic Whipple's disease. The patient presented typical ophthalmoparesis associated with ocular myorhythmia consisting of 1 Hz convergent oscillations of both eyes. The masticatory involvement was remarkable and consisted of a permanent bruxism leading to severe tooth abrasions. Possible pathophysiology of such a disorder is discussed.
Service de Neurologie, Hôpital Pellegrin Bordeaux, France.
F
F
Tison
C
C
Louvet-Giendaj
P
P
Henry
A
A
Lagueny
E
E
Gaujard
D002012:Bruxism / Q000209:etiology* / Q000503:physiopathology; D004576:Electromyography; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008410:Masticatory Muscles / Q000503:physiopathology; D008636:Mesencephalon / Q000473:pathology; D008875:Middle Aged; D009460:Neurologic Examination; D015835:Ocular Motility Disorders / Q000209:etiology* / Q000503:physiopathology; D008061:Whipple Disease / Q000150:complications* / Q000503:physiopathology