Search tips
Search criteria 


Logo of jnnpsycJournal of Neurology, Neurosurgery and PsychiatryVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
J Neurol Neurosurg Psychiatry. 1986 June; 49(6): 651–656.
PMCID: PMC1028846

Focal dystonia of the jaw and the differential diagnosis of unilateral jaw and masticatory spasm.


The clinical features, differential diagnosis and treatment of unilateral spasms of the jaw and masticatory muscles are discussed and illustrated by eight cases of unilateral jaw spasms of various aetiologies. These include focal dystonia of the jaw, hemimasticatory spasm with and without facial hemiatrophy, paroxysmal events in multiple sclerosis and tetany. Attention is particularly drawn to four cases of unilateral dystonia of the jaw which has not been described before.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (1.4M), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Images in this article

Click on the image to see a larger version.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Marsden CD. Blepharospasm-oromandibular dystonia syndrome (Brueghel's syndrome). A variant of adult-onset torsion dystonia? J Neurol Neurosurg Psychiatry. 1976 Dec;39(12):1204–1209. [PMC free article] [PubMed]
  • Burke RE, Fahn S, Jankovic J, Marsden CD, Lang AE, Gollomp S, Ilson J. Tardive dystonia: late-onset and persistent dystonia caused by antipsychotic drugs. Neurology. 1982 Dec;32(12):1335–1346. [PubMed]
  • Jelasic F, Freitag V. Inverse activity of masticatory muscles with and without trismus: a brainstem syndrome. J Neurol Neurosurg Psychiatry. 1978 Sep;41(9):798–804. [PMC free article] [PubMed]
  • Rugh JD, Solberg WK. Psychological implications in temporomandibular pain and dysfunction. Oral Sci Rev. 1976;7:3–30. [PubMed]
  • Satoyoshi E. A syndrome of progressive muscle spasm, alopecia, and diarrhea. Neurology. 1978 May;28(5):458–471. [PubMed]
  • Kaufman MD. Masticatory spasm in facial hemiatrophy. Ann Neurol. 1980 Jun;7(6):585–587. [PubMed]
  • Lapresle J, Desi M. Sclérodermie avec hémiatrophie faciale progressive et atrophie croisée de l'hémicorps. Rev Neurol (Paris) 1982;138(11):815–825. [PubMed]
  • Thompson PD, Carroll WM. Hemimasticatory spasm--a peripheral paroxysmal cranial neuropathy? J Neurol Neurosurg Psychiatry. 1983 Mar;46(3):274–276. [PMC free article] [PubMed]
  • Berardelli A, Rothwell JC, Day BL, Marsden CD. Pathophysiology of blepharospasm and oromandibular dystonia. Brain. 1985 Sep;108(Pt 3):593–608. [PubMed]
  • Mayo J, Berciano J. Cephalic tetanus presenting with Bell's palsy. J Neurol Neurosurg Psychiatry. 1985 Mar;48(3):290–290. [PMC free article] [PubMed]
  • Matthews WB. Paroxysmal symptoms in multiple sclerosis. J Neurol Neurosurg Psychiatry. 1975 Jun;38(6):617–623. [PMC free article] [PubMed]
  • Espir ML, Millac P. Treatment of paroxysmal disorders in multiple sclerosis with carbamazepine (Tegretol). J Neurol Neurosurg Psychiatry. 1970 Aug;33(4):528–531. [PMC free article] [PubMed]
  • Berger JR, Sheremata WA, Melamed E. Paroxysmal dystonia as the initial manifestation of multiple sclerosis. Arch Neurol. 1984 Jul;41(7):747–750. [PubMed]

Articles from Journal of Neurology, Neurosurgery, and Psychiatry are provided here courtesy of BMJ Publishing Group