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Meige's Syndrome
Meige's syndrome is a type of dystonia. It is also known as Brueghel's syndrome and oral facial dystonia. It is actually a combination of two forms of dystonia, blepharospasm and oromandibular dystonia (OMD). When OMD is combined with blepharospasm, it may be referred to as Meige's Syndrome named after Henri Meige, the French neurologist who first described the symptoms in detail in 1910. The symptoms usually begin between the ages of 30 and 70 years old and appear to be more common in women than in men (2:1 ratio). The combination of upper and lower dystonia is sometimes called cranial-cervical dystonia. The incidence is about one case in 20,000 people. Presentation The main symptoms involve involuntary blinking and chin thrusting. Some patients may experience excessive tongue protrusion, squinting, light sensitivity, muddled speech, or uncontrollable contraction of the platysma muscle. Some Meige's patients also have "laryngeal dystonia" (spasms of the larynx). Blephar ...
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Pieter Bruegel The Elder
Pieter Bruegel (also Brueghel or Breughel) the Elder (, ; ; – 9 September 1569) was the most significant artist of Dutch and Flemish Renaissance painting, a painter and printmaker, known for his landscapes and peasant scenes (so-called genre painting); he was a pioneer in making both types of subject the focus in large paintings. He was a formative influence on Dutch Golden Age painting and later painting in general in his innovative choices of subject matter, as one of the first generation of artists to grow up when religious subjects had ceased to be the natural subject matter of painting. He also painted no portraits, the other mainstay of Netherlandish art. After his training and travels to Italy, he returned in 1555 to settle in Antwerp, where he worked mainly as a prolific designer of prints for the leading publisher of the day. Only towards the end of the decade did he switch to make painting his main medium, and all his famous paintings come from the following perio ...
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Tourette Syndrome
Tourette syndrome or Tourette's syndrome (abbreviated as TS or Tourette's) is a common neurodevelopmental disorder that begins in childhood or adolescence. It is characterized by multiple movement (motor) tics and at least one vocal (phonic) tic. Common tics are blinking, coughing, throat clearing, sniffing, and facial movements. These are typically preceded by an unwanted urge or sensation in the affected muscles known as a premonitory urge, can sometimes be suppressed temporarily, and characteristically change in location, strength, and frequency. Tourette's is at the more severe end of a spectrum of tic disorders. The tics often go unnoticed by casual observers. Tourette's was once regarded as a rare and bizarre syndrome and has popularly been associated with coprolalia (the utterance of obscene words or socially inappropriate and derogatory remarks). It is no longer considered rare; about 1% of school-age children and adolescents are estimated to have Tourette's, and ...
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Dystonia
Dystonia is a neurological hyperkinetic movement disorder in which sustained or repetitive muscle contractions result in twisting and repetitive movements or abnormal fixed postures. The movements may resemble a tremor. Dystonia is often intensified or exacerbated by physical activity, and symptoms may progress into adjacent muscles. The disorder may be hereditary or caused by other factors such as birth-related or other physical trauma, infection, poisoning (e.g., lead poisoning) or reaction to pharmaceutical drugs, particularly neuroleptics, or stress. Treatment must be highly customized to the needs of the individual and may include oral medications, chemodenervation botulinum neurotoxin injections, physical therapy, or other supportive therapies, and surgical procedures such as deep brain stimulation. Classification There are multiple types of dystonia, and many diseases and conditions may cause dystonia. Dystonia is classified by: # Clinical characteristics such as a ...
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Extrapyramidal And Movement Disorders
Extrapyramidal can refer to: * Extrapyramidal system * Extrapyramidal symptoms Extrapyramidal symptoms (EPS) are symptoms that are archetypically associated with the extrapyramidal system of the brain's cerebral cortex. When such symptoms are caused by medications or other drugs, they are also known as extrapyramidal side ...
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Writer's Cramp
Writer's cramp or focal hand dystonia (FHD) is an idiopathic movement disorder of adult onset, characterized by abnormal posturing and movement of the hand and/or forearm during tasks requiring skilled hand use, such as writing.Rana, AQ, Saeed, U. "Diversity of responses to writer's dystonia - a condition resistant to treatment". ''West Indian Med J''. 2012 Sep;61(6):650-1/ref> Overcontraction of affected muscles, cocontraction of Anatomical terms of muscle, agonist and antagonist pairs, and activation of muscles inappropriate to a task all impair use of the affected hand. Writer's cramp is a task-specific focal dystonia of the hand. 'Focal' refers to the symptoms being limited to one location (the hand in this case), and 'task-specific' means that symptoms first occur only when the individual engages in a particular activity. Writer's cramp first affects an individual by interfering with their ability to write, especially for prolonged periods of time. Epidemiologic studies repor ...
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Platysma Muscle
The platysma muscle is a superficial muscle of the human neck that overlaps the sternocleidomastoid. It covers the anterior surface of the neck superficially. When it contracts, it produces a slight wrinkling of the neck, and a "bowstring" effect on either side of the neck. Structure The platysma muscle is a broad sheet of muscle arising from the fascia covering the upper parts of the pectoralis major muscle and deltoid muscle. Its fibers cross the clavicle, and proceed obliquely upward and medially along the side of the neck. This leaves the inferior part of the neck in the midline deficient of significant muscle cover. Fibres at the front of the muscle from the left and right sides intermingle together below and behind the mandibular symphysis, the junction where the two lateral halves of the mandible are fused at an early period of life (although not a true symphysis). Fibres at the back of the muscle cross the mandible, some being inserted into the bone below the oblique line ...
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Temporal Muscle
In anatomy, the temporalis muscle, also known as the temporal muscle, is one of the muscles of mastication (chewing). It is a broad, fan-shaped convergent muscle on each side of the head that fills the temporal fossa, superior to the zygomatic arch so it covers much of the temporal bone.Illustrated Anatomy of the Head and Neck, Fehrenbach and Herring, Elsevier, 2012, page 98''Temporal'' refers to the head's temples. Structure In humans, the temporalis muscle arises from the temporal fossa and the deep part of temporal fascia. This is a very broad area of attachment. It passes medial to the zygomatic arch. It forms a tendon which inserts onto the coronoid process of the mandible, with its insertion extending into the retromolar fossa posterior to the most distal mandibular molar.Human Anatomy, Jacobs, Elsevier, 2008, page 194 In other mammals, the muscle usually spans the dorsal part of the skull all the way up to the medial line. There, it may be attached to a sagittal crest, a ...
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Masseter Muscle
In human anatomy, the masseter is one of the muscles of mastication. Found only in mammals, it is particularly powerful in herbivores to facilitate chewing of plant matter. The most obvious muscle of mastication is the masseter muscle, since it is the most superficial and one of the strongest. Structure The masseter is a thick, somewhat quadrilateral muscle, consisting of three heads, superficial, deep and coronoid. The fibers of superficial and deep heads are continuous at their insertion. Superficial head The superficial head, the larger, arises by a thick, tendinous aponeurosis from the temporal process of the zygomatic bone, and from the anterior two-thirds of the inferior border of the zygomatic arch. Its fibers pass inferior and posterior, to be inserted into the angle of the mandible and inferior half of the lateral surface of the ramus of the mandible. Deep head The deep head is much smaller, and more muscular in texture. It arises from the posterior third of the lower ...
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Muscles Of Mastication
There are four classical muscles of mastication. During mastication, three muscles of mastication (''musculi masticatorii'') are responsible for adduction of the jaw, and one (the lateral pterygoid) helps to abduct it. All four move the jaw laterally. Other muscles, usually associated with the hyoid, such as the mylohyoid muscle, are responsible for opening the jaw in addition to the lateral pterygoid. Structure The muscles are: * The masseter (composed of the superficial and deep head) * The temporalis (the sphenomandibularis is considered a part of the temporalis by some sources, and a distinct muscle by others) * The medial pterygoid * The lateral pterygoid In humans, the mandible, or lower jaw, is connected to the temporal bone of the skull via the temporomandibular joint. This is an extremely complex joint which permits movement in all planes. The muscles of mastication originate on the skull and insert into the mandible, thereby allowing for jaw movements during contr ...
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Spasmodic Dysphonia
Spasmodic dysphonia, also known as laryngeal dystonia, is a disorder in which the muscles that generate a person's voice go into periods of spasm. This results in breaks or interruptions in the voice, often every few sentences, which can make a person difficult to understand. The person's voice may also sound strained or they may be nearly unable to speak. Onset is often gradual and the condition is lifelong. The cause is unknown. Risk factors may include family history. Triggers may include an upper respiratory infection, injury to the larynx, overuse of the voice, and psychological stress. The underlying mechanism is believed to typically involve the central nervous system, specifically the basal ganglia. Diagnosis is typically made following examination by a team of healthcare providers. It is a type of focal dystonia. While there is no cure, treatment may improve symptoms. Most commonly this involves injecting botulinum toxin into the affected muscles of the larynx. Th ...
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Spasmodic Torticollis
Spasmodic torticollis is an extremely painful chronic neurological movement disorder causing the neck to involuntarily turn to the left, right, upwards, and/or downwards. The condition is also referred to as "cervical dystonia". Both agonist and antagonist muscles contract simultaneously during dystonic movement. Causes of the disorder are predominantly idiopathic. A small number of patients develop the disorder as a result of another disorder or disease. Most patients first experience symptoms midlife. The most common treatment for spasmodic torticollis is the use of botulinum toxin type A. Signs and symptoms Initial symptoms of spasmodic torticollis are usually mild. Some feel an invisible tremor of their head for a few months at onset. Then the head may turn, pull or tilt in jerky movements, or sustain a prolonged position involuntarily. Over time, the involuntary spasm of the neck muscles will increase in frequency and strength until it reaches a plateau. Symptoms can also wor ...
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Tardive Dyskinesia
Tardive dyskinesia (TD) is a disorder that results in involuntary repetitive body movements, which may include grimacing, sticking out the tongue or smacking the lips. Additionally, there may be rapid jerking movements or slow writhing movements. In about 20% of people with TD, the disorder interferes with daily functioning. Tardive dyskinesia occurs in some people as a result of long-term use of dopamine-receptor-blocking medications such as antipsychotics and metoclopramide. These medications are usually used for mental illness but may also be given for gastrointestinal or neurological problems. The condition typically develops only after months to years of use. The diagnosis is based on the symptoms after ruling out other potential causes. Efforts to prevent the condition include either using the lowest possible dose or discontinuing use of neuroleptics. Treatment includes stopping the neuroleptic medication if possible or switching to clozapine. Other medications such a ...
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