Journal of Movement Disorders

Brief communication

Long-Term Outcome of Hemimasticatory Spasm: Somdattaa Ray, Nitish Kamble, Ravi Yadav, Pramod Kumar Pal; J Mov Disord. 2022;15(2):146-150. Published online March 16, 2022; DOI: https://doi.org/10.14802/jmd.21067

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Objective
This study aims to identify the demographic, clinical, and therapeutic characteristics of four patients with hemimasticatory spasm (HMS) seen in our outpatient department over a period of 20 years.
Methods
We performed a retrospective chart review of four patients with HMS who visited outpatient services in the Department of Neurology from 2001 to 2020.
Results
The follow-up for all patients ranged from 2 years to 9 years. Three patients had facial or bucco-oral morphea. Two patients maintained long-term improvements in symptoms after being treated with botulinum toxin for 4–7 years, while one patient reported improvement in symptoms with treatment of carbamazepine that subsequently remitted after pregnancy.
Conclusion
This report highlights the long-term outcome of HMS in our patients. Our patients reported a significant reduction or complete resolution of symptoms after treatment, and eventually, two patients were asymptomatic while off treatment.

Citations

Citations to this article as recorded by

Hemimasticatory spasm: a series of 17 cases and a comprehensive review of the literature
Kazuya Yoshida
Frontiers in Neurology.2024;[Epub] CrossRef
Hemimasticatory Spasm Treated With Muscle Afferent Block Therapy and Occlusal Splint
Kazuya Yoshida
Journal of Movement Disorders.2024; 17(2): 230. CrossRef
Peripherally-induced Movement Disorders: An Update
Abhishek Lenka, Joseph Jankovic
Tremor and Other Hyperkinetic Movements.2023;[Epub] CrossRef

Original Articles

Impact of Upper Eyelid Surgery on Symptom Severity and Frequency in Benign Essential Blepharospasm: Hannah Mary Timlin, Kailun Jiang, Daniel George Ezra; J Mov Disord. 2021;14(1):53-59. Published online January 12, 2021; DOI: https://doi.org/10.14802/jmd.20075

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Abstract PDF

Objective
To assess the impact of periocular surgery, other than orbicularis stripping, on the severity and frequency of blepharospasm symptoms.
Methods
Consecutive patients with benign essential blepharospasm (BEB) who underwent eyelid/eyebrow surgery with the aim of improving symptoms were retrospectively reviewed over a 5-year period. Patients who had completed the Jankovic Rating Scale (JRS) and Blepharospasm Disability Index (BDI) pre- and at least 3 months postoperatively were included.
Results
Twenty-four patients were included. JRS scores significantly improved from 7.0 preoperatively to 4.1 postoperatively (p < 0.001), and BDI scores significantly improved from 18.4 preoperatively to 12.7 postoperatively (p < 0.001); the mean percentage improvements were 41% and 30%, respectively. Patients were followed for a median of 24 months postoperatively.
Conclusion
Periocular surgery significantly reduced BEB symptoms in the majority (83%) of patients by an average of 33% and may therefore be offered for suitable patients. An important minority (17%) of patients experienced symptom worsening.

Citations

Citations to this article as recorded by

The long-term response to botulinum toxin injections in patients with blepharospasm undergoing upper eyelid surgery
Assunta Trinchillo, Nunzia Cuomo, Francesco Habetswallner, Marcello Esposito
Parkinsonism & Related Disorders.2024; 119: 105958. CrossRef
Blepharospasm Secondary to Deep Brain Stimulation of the Subthalamic Nucleus in Parkinson Disease: Clinical Characteristics and Management Outcomes
Michelle A. Ting, Alexandra I. Manta, Emma Samia-Aly, Michelle Lai, Emanuel R. de Carvalho, Philip Buttery, Daniel G. Ezra
Journal of Neuro-Ophthalmology.2023;[Epub] CrossRef

Sensory Trick Frames: A New Device for Blepharospasm Patients: Daniele Lorenzano, Steven Tansley, Daniel G. Ezra; J Mov Disord. 2019;12(1):22-26. Published online January 16, 2019; DOI: https://doi.org/10.14802/jmd.18010

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Abstract PDF

Objective
To determine whether the use of unique customized spectacles provided with modified side arms may be helpful in reducing benign essential blepharospasm (BEB) in patients describing periocular sensory tricks (ST).
Methods
A prospective descriptive study of patients with BEB with positive periocular or temporal region ST phenomenon response under the care of the Botox Clinic at Moorfields Eye Hospital, London, UK. Nine consecutive patients with BEB describing ST were recruited, and the disease frequency and severity were assessed with the Jankovic Rating Scale (JRS) and the Blepharospasm Disability Index (BSDI) before and after the use of the sensory trick frames (STF).
Results
A reduction in the score was noted in both severity (p = 0.0115) and frequency patterns (p = 0.0117) in the JRS in patients using the STF. A significant reduction of the BSDI score was also observed (p = 0.0314).
Conclusion
All the patients selected and fitted with the STF had a reduction in spasms and related symptoms. This new device may be helpful in some selected BEB patients who previously responded positively to periocular pressure alleviating maneuvers.

Citations

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Electrically Induced Sensory Trick in a Patient with Musician’s Dystonia: A Case Report
Daisuke Nishida, Katsuhiro Mizuno, Osamu Takahashi, Meigen Liu, Tetsuya Tsuji
Brain Sciences.2023; 13(2): 223. CrossRef
Evaluation of Blepharoptosis in Patients With Refractory Blepharospasm by VISA—Video Recordings, Idiosyncratic Expressions, Sensory Tricks, and Ancillary Procedures
Chung-Sheng Lai, Savitha Ramachandran, Chia-Chen Lee, Ya-Wei Lai, Yang-Pei Chang, Shu-Hung Huang
Annals of Plastic Surgery.2023; 90(5S): S172. CrossRef
Variability of Movement Disorders: The Influence of Sensation, Action, Cognition, and Emotions
Rok Berlot, John C. Rothwell, Kailash P. Bhatia, Maja Kojović
Movement Disorders.2021; 36(3): 581. CrossRef
Impact of Upper Eyelid Surgery on Symptom Severity and Frequency in Benign Essential Blepharospasm
Hannah Mary Timlin, Kailun Jiang, Daniel George Ezra
Journal of Movement Disorders.2021; 14(1): 53. CrossRef
Benign essential blepharospasm: epidemiology, clinical manifestations, pathophysiology, botulinum toxin therapy
Z. A. Zalyalova
Neurology, Neuropsychiatry, Psychosomatics.2021; 13(1): 119. CrossRef
Best Practices in the Clinical Management of Progressive Supranuclear Palsy and Corticobasal Syndrome: A Consensus Statement of the CurePSP Centers of Care
Brent Bluett, Alexander Y. Pantelyat, Irene Litvan, Farwa Ali, Diana Apetauerova, Danny Bega, Lisa Bloom, James Bower, Adam L. Boxer, Marian L. Dale, Rohit Dhall, Antoine Duquette, Hubert H. Fernandez, Jori E. Fleisher, Murray Grossman, Michael Howell, Di
Frontiers in Neurology.2021;[Epub] CrossRef
Ocular motor manifestations of movement disorders
Grace F. Crotty, Bart K. Chwalisz
Current Opinion in Ophthalmology.2019; 30(6): 443. CrossRef

Case Reports

A Case with Improvement of Blepharospasm by Zolpidem: Munkyung Sunwoo, Junghee Cho, Jun Hong Lee, Gyu Sik Kim, Jong Hun Kim, Sun-Ah Choi; J Mov Disord. 2011;4(1):53-54.; DOI: https://doi.org/10.14802/jmd.11010

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Abstract PDF

Zolpidem is usually used for the treatment of insomnia as a hypnotic drug. It was also suggested to be effective in the treatment of dystonia in some studies. A 74-year-old woman had been suffering from frequent and intense bilateral spasms of the eyelids for 20 years. She has been treated with botulinum toxin injection and taken some medications. But, she experienced a little effect and was not satisfied with those treatments. Her symptom was improved after taking Zolpidem which had been prescribed for insomnia by her primary physician. She did not show any improvement after placebo injection and neostigmine test. This is the first report which shows improvement of isolated blepharospasm by Zolpidem in Korea. Zolpidem can be one of useful alternative pharmacological treatments for blepharospasm. Further randomized, blinded, placebo-controlled studies are needed to validate this finding.

Citations

Citations to this article as recorded by

Zolpidem for the Treatment of Dystonia
Stephanie Patricia J. Badillo, Roland Dominic G. Jamora
Frontiers in Neurology.2019;[Epub] CrossRef
Can a Positive Allosteric Modulation of GABAergic Receptors Improve Motor Symptoms in Patients with Parkinson’s Disease? The Potential Role of Zolpidem in the Treatment of Parkinson’s Disease
Antonio Daniele, Francesco Panza, Antonio Greco, Giancarlo Logroscino, Davide Seripa
Parkinson's Disease.2016; 2016: 1. CrossRef
Medical treatment of dystonia
Pichet Termsarasab, Thananan Thammongkolchai, Steven J. Frucht
Journal of Clinical Movement Disorders.2016;[Epub] CrossRef

A Case of Painful Hemimasticatory Spasm with Masseter Muscle Hypertrophy Responsive to Botulinum Toxin: Jin-Hyuck Kim, Seok-Won Han, Yun Joong Kim, Jooyong Kim, Mi-Suh Oh, Hyeo-Il Ma, Byung-Chul Lee; J Mov Disord. 2009;2(2):95-97.; DOI: https://doi.org/10.14802/jmd.09026

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Abstract PDF

Hemimasticatory spasm (HMS) is a rare disorder of the trigeminal nerve characterized by paroxysmal involuntary contractions of the unilateral jaw-closing muscles. HMS has been frequently described in association with facial hemiatrophy or localized scleroderma. A 42-year-old female presented with involuntary paroxysmal spasms of the left face, of 6 months duration. Her lower face on the left was markedly hypertrophied without skin lesions. An electrophysiological study indicated that the masseter reflexes and masseteric silent period were attenuated on the affected side. Surface electromyography demonstrated irregular bursts of motor unit potentials at high frequencies up to 200 Hz. Magnetic resonance imaging of the head showed marked hypertrophy of the left masseter muscle. Biopsy of the hypertrophied masseter muscle was normal. Repeated local injections of botulinum toxin noticeably reduced the size of the hypertrophied muscle as well as improved the patient’s symptoms.

Citations

Citations to this article as recorded by

Hemimasticatory spasm: a series of 17 cases and a comprehensive review of the literature
Kazuya Yoshida
Frontiers in Neurology.2024;[Epub] CrossRef
Hemimasticatory spasm: possibilities of treatment with injections of botulinum neuroprotein type A (case report)
L. U. Valieva, A. S. Pankratov, O. R. Orlova
Neurology, Neuropsychiatry, Psychosomatics.2022; 14(3): 62. CrossRef
Bilateral Hemimasticatory spasm in a patient with hypereosinophilic syndrome
Kyung Ah Woo, Han-Joon Kim, Hyeyoung Park, Beomseok Jeon
Parkinsonism & Related Disorders.2021; 93: 55. CrossRef
Hemimasticatory spasm. Own experience of using botulinum neuroprotein type A
A. N. Korenko, A. V. Amelin, A. A. Timofeeva
The Scientific Notes of the Pavlov University.2021; 28(3): 47. CrossRef
Parry-Romberg Syndrome With Hemimasticatory Spasm: A Rare Combination
Guang-can Chen, Min-jie Chen, Wen-bin Wei, Yun-bo Hao
Journal of Craniofacial Surgery.2020; 31(2): e205. CrossRef
Hemi Masticatory Spasm: Series of 7 Cases and Review of Literature
Divya M. Radhakrishnan, Vinay Goyal, Garima Shukla, Mamta Bhushan Singh, M. Ramam
Movement Disorders Clinical Practice.2019; 6(4): 316. CrossRef

Painful Spasms and Rigidity of the Lower Limb Following Transverse Myelitis Associated With Sjögren’s Syndrome: In-Uk Song, Young-Do Kim, Joong-Seok Kim, Kwang-Soo Lee; J Mov Disord. 2008;1(1):51-54.; DOI: https://doi.org/10.14802/jmd.08009

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Abstract PDF: Abnormal muscle tone, such as spasm s, rigidity, and stiffness, following acute transverse myelitis (ATM) was such a rare manifestation that hardly reported until now. We experienced a 50-year-old patient with ATM associated with Sjögren’s syndrome. Furthermore, the patients complained painful spasms and rigidity of left lower limb which begun after episode of ATM.

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