Oromandibualr Dystonia Associated with Diabetic Hyperglycemia

J Korean Neurol Assoc > Volume 32(4); 2014 > Article

Journal of the Korean Neurological Association 2014;32(4): 259-261.

당뇨고혈당증과 연관된 입턱근긴장이상증

송영목

단국대학교 의과대학 신경과학교실

Oromandibualr Dystonia Associated with Diabetic Hyperglycemia

Young-Mok Song

Department of Neurology, Dankook University College of Medicine, Cheonan, Korea

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. Key Words: Oromandibular dystonia, Nonketotic hyperglycemia, Basal ganglia