J Korean Neurol Assoc.  2014 Nov;32(4):259-261. 10.0000/jkna.2014.32.4.259.

Oromandibualr Dystonia Associated with Diabetic Hyperglycemia

• Song YM

• KMID: 2343547
• DOI: http://doi.org/10.0000/jkna.2014.32.4.259

Abstract

Oromandibular dystonia (OMD) is a focal dystonia that is characterized by repetitive or sustained spasms of the masticatory, facial, or lingual muscles. The etiology is idiopathic in most cases. A patient presenting with OMD associated with diabetic hyperglycemia is reported herein. A 74-year-old woman with a history of diabetes developed OMD. Brain MRI revealed a high signal intensity in the bilateral putamen on T1-weighted imaging. Nonketotic hyperglycemia was detected. The OMD gradually subsided with normalization of the hyperglycemia and medication with haloperidol over 10 days.

Keyword

Oromandibular dystonia; Nonketotic hyperglycemia; Basal ganglia

MeSH Terms

Aged
Basal Ganglia
Brain
Dystonia*
Dystonic Disorders
Female
Haloperidol
Humans
Hyperglycemia*
Magnetic Resonance Imaging
Muscles
Putamen
Spasm
Haloperidol