Abstract
Meige syndrome is an idiopathic dystonia characterized by combination of blepharospasm and involuntary movements of the lower facial and/or masticatory (jaw) muscles. The condition is rare and has a variety of clinical presentations which often lead to its misdiagnosis. We report a case of Meige syndrome repeatedly misdiagnosed and treated unsuccessfully as conversion disorder.
Highlights
Meige syndrome is an idiopathic dystonia characterized by symmetrical blepharospasm and oromandibular dystonia [1]
We report a case of Meige syndrome repeatedly misdiagnosed and treated as conversion disorder
She was referred to a psychiatrist, who diagnosed her as conversion disorder and prescribed amitriptylline (50 mg/day), haloperidol (10 mg/day) and trihexyphenidyl (4 mg/day)
Summary
Meige syndrome is an idiopathic dystonia characterized by symmetrical blepharospasm and oromandibular dystonia [1]. It is used synonymously with Brueghel’s syndrome or segmental craniocervical dystonia. The causes of this syndrome are unknown, it has been reported to be induced by certain kinds of drugs such as antipsychotic drugs and dopamine agonists, cerebellar degeneration, basal ganglia dysfunction, and brain tumors [2]. The variety of symptoms and low prevalence of the syndrome often leads to its misdiagnosis in psychiatry, ophthalmology and neurology. We report a case of Meige syndrome repeatedly misdiagnosed and treated as conversion disorder. (2015) Meige Syndrome: An Eternal Diagnostic Confusion.
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