Blepharospasm--oromandibular dystonia (Meige's syndrome) misdiagnosed as secondary hemifacial spasm.
Orofacial dyskinesia (Meige's syndrome) is a rare clinical entity. This disorder was first described in 1910 by Henry Meige as "spasm facial median," a disabling spasm of the facial musculature which had frequently been misdiagnosed and inappropriately treated. This report concerns a patient who presented with tonic hemifacial spasm twenty-two years after contracting Bell's palsy. The condition was initially thought to be secondary to faulty regeneration of the facial nerve until Meige's syndrome became fully manifested over a period of two years. The diagnostic characteristics as well as the forms of treatment for this unusual disorder are presented.
D001764:Blepharospasm / Q000150:complications / Q000175:diagnosis* / Q000209:etiology; D003951:Diagnostic Errors; D004421:Dystonia / Q000150:complications / Q000175:diagnosis* / Q000209:etiology; D005141:Eyelid Diseases / Q000175:diagnosis*; D005152:Facial Muscles; D005158:Facial Paralysis / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D013035:Spasm / Q000175:diagnosis*; D013577:Syndrome