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Case Reports
. 2024 May 14:17:11795476241254266.
doi: 10.1177/11795476241254266. eCollection 2024.

Surgical Myectomy and Myotomy for Refractory Blepharospasm in Meige Syndrome Patients: A Case Report

Ming-Ming Li  1 , Zhi-Min Cen  1 , Huang Zhang  1 , Zhong-Ling Luo  1
Affiliations
Case Reports

Surgical Myectomy and Myotomy for Refractory Blepharospasm in Meige Syndrome Patients: A Case Report

Ming-Ming Li et al. Clin Med Insights Case Rep. .

Abstract

Meige syndrome is a rare neurological disease characterized by segmental dystonia, specifically blepharospasm and oromandibular dystonia. These symptoms are often accompanied by complex movements of the eyelids, lower facial muscles, mandible, and neck muscles. Bilateral blepharospasm is the most common feature of this disease. In this case report, we present the successful treatment of refractory blepharospasm in a 72-year-old woman with Meige syndrome via 2 incisions resulting from myectomy and in situ surgery.

Keywords: Meige syndrome; blepharospasm; myectomy; myotomy.

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Conflict of interest statement

The author(s) declared the following potential conflicts of interest with respect to the research, authorship, and/or publication of this article: In compliance with the ICMJE uniform disclosure form, all the authors declare the following: Payment/services info: All the authors declare that no financial support was received from any organization for the submitted work. Financial relationships: All the authors declare that they have no financial relationships at present or established within the previous 3 years with any organizations that might have an interest in the submitted work. Other relationships: All the authors declare that there are no other relationships or activities that could appear to have influenced the submitted work.

Figures

Figure 1.
Figure 1.
Displays the preoperative state, showing the symmetrical and involuntary movements of the eyelids. This was further emphasized in Supplemental Video 1.
Figure 2.
Figure 2.
Represents the postoperative follow-up at 6 months, revealing satisfactory functional and cosmetic outcomes. This is corroborated in Supplemental Video 2.
See this image and copyright information in PMC

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References

    1. Pandey SSS. Meige’s syndrome: history, epidemiology, clinical features, pathogenesis and treatment. J Neurol Sci. 2017;372:162-170. - PubMed
    1. Yen MT. Surgical myectomy for essential blepharospasm and hemifacial spasm. Int Ophthalmol Clin. 2018;58:63-70. - PubMed
    1. Reese R, Gruber D, Schoenecker T, et al.. Long-term clinical outcome in meige syndrome treated with internal pallidum deep brain stimulation. Movement Disord. 2011;26:691-698. - PubMed
    1. Lai H, Chen AD, Lee S, Lin Y, Lai C. Myotomy in situ for essential blepharospasm refractory to botulinum toxin. Ann Plas Surg. 2020;84:S74-S79. - PubMed
    1. Pariseau B, Worley MW, Anderson RL. Myectomy for blepharospasm 2013. Curr Opin Ophthalmol. 2013;24:488-493. - PubMed

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