Orofacial dyskinesia

Published on 02/04/2015 by admin

Filed under Internal Medicine

Last modified 02/04/2015

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80 Orofacial dyskinesia

Instruction

Look at this patient.

Salient features

History

• Ask the patient about removal of teeth and how long the patient has been edentulous

• History of date of onset and duration

• Drug history (phenothiazines, levodopa and related drugs).

Examination

• Smacking, chewing or chomping movement of the lips, seen particularly in elderly patients; it usually involves the masticatory, lower facial and tongue muscles.

Proceed as follows:

• Comment if the patient is edentulous (Ann Neurol 1983;13:97).

Remember: Orofacial dyskinesia is defined as involuntary, repetitive, stereotypical movement of the face, tongue and jaw that may be painful.

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