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眼肌痉挛——口下颌肌张力障碍综合征(Ble-pharopasm—ormandibular dytonia syndrome),亦称Meige氏综合征.在1910年由法国神经学家HenryMeige首先描述,其后陆续有所报道.目前国内见17例,部分误诊为神经症.现将我院1990～1992年诊治的3例报告如下.1 病例介绍例1女,54岁.2年前自觉颜面及口角紧涩,2个月后眼睑及口角痉挛性抽动,每次数秒钟缓解,每日20余次.紧张时加剧,安静时减轻.半年后发作频繁,眼睑不时抽动,舌体运动欠灵活,咀嚼肌痉挛性收缩,口角不自主内聚,咬牙、流涎,影响语言和进食.每次发作持续3～5分钟.每小时即有数次发作.舌经常被咬破,睡眠时消失.在外院用卡马西平、安坦等治疗无效.于1991年1月4日收住我院.既往无面瘫史.检查:可见阵发性双眼睑痉挛皱眉,口角不自主内聚,呈间歇性咬牙、锉牙,
Ocular cramps - Blepharopasm-ormandibular dytonia syndrome, also known as Meige’s syndrome, was first described by the French neurologist Henry Meige in 1910 and later reported in succession See 17 cases, some misdiagnosed as neurosis. Now our hospital from 1990 to 1992, diagnosis and treatment of 3 cases are reported as follows .1 cases introduced in Example 1 female, 54 years old 2 years ago conscious face and mouth tight astringent, 2 months after the eyelid And mouth spasm twitch, every few seconds to ease, more than 20 times a day. Tense exacerbation, quiet relief. Six months after the seizures frequent eyelid twitching, tongue movement is not flexible, masticatory muscle spasmodic contraction, the mouth is not autonomous Cohesion, bite, drool, affect language and eating each episode lasts 3 to 5 minutes .Each hour there are several episodes.The tongue is often bitten, disappear during sleep. .In January 4, 1991 admitted to our hospital .No previous history of facial paralysis.Check: visible paroxysmal double blepharospasm frown, mouth involuntary cohesion, was intermittent teeth, filing teeth,