Rare neurological disorder: meige's syndrome- a case report

Meige's syndrome is a rare neurological syndrome characterized by segemental oromandibular dystonia and blepharospasm. Its pathophysiology is not well knwon. A 45-year-old female presented to oral and maxilloofacial department with blepharospasm and oromandibular dystonia with clinical provisional diagnosis of TMJ hyperobility. After thorough TMJ examination and physical examination including detailed neurological exam and psychiatric evaluation no TMJ disorder or any medical or psychiatric diagnosis could be made. The other differential diagnoses of extra pyramidal symptom, tardive dyskinesia, conversion disorder, anxiety disorder were ruled out by formal diagnostic criteria. acordingly with suspicion of Meige's syndrome she was referred to the neurologist and the diagnosis was confirmed. therfore, Meige's syndrome could be misdiagnosed as a TMJ hypermobility or psychiatric disorder such as conversion disorder or anxiety disorder because clinical features of Meige's syndrome are highly variable and affected by psychological factors and also can be inhibited voluntarily to some extent.