Subject(s)
Myelinolysis, Central Pontine/complications , Sensation Disorders/etiology , Vision Disorders/etiology , Aged , Blindness/etiology , Electroencephalography , Epilepsy, Reflex/etiology , Essential Tremor/complications , Humans , Magnetic Resonance Imaging , Male , Pons/pathology , Reflex, Startle , SoundABSTRACT
A 42-year-old farmer developed persistent mid-facial segmental pain and Meige's syndrome several months after suffering facial trauma and a fracture of the nose. He was not afflicted by systemic ailments, had no family history of movement disorder and no history of exposure to neuroleptic drugs. He was capable of suppressing his facial pain by performing a ritual that included forcefully tilting his head backwards, lowering of his eyelids and applying strong pressure to his nasion. Exceptionally dystonic movements and elaborate behavioral rituals may serve as a mechanism of pain suppression.
Subject(s)
Facial Pain/etiology , Facial Pain/therapy , Maxillofacial Injuries/complications , Meige Syndrome/etiology , Meige Syndrome/therapy , Nasal Bone/injuries , Adult , Chronic Disease , Fractures, Bone/complications , Head Movements/physiology , Humans , Male , Neurologic Examination , Pressure , Tomography, X-Ray Computed , Treatment FailureABSTRACT
Sleep often terminates migraine headaches, and sleep disorders occur with greater prevalence in individuals with chronic or recurrent headaches. Rhythmic head, limb or body movements are common in children before falling asleep, but they very rarely persist into adolescence and adulthood, or appear de novo later in life as sleep-related rhythmic movement disorders. A 22-year-old female with migraine without aura and history of early childhood pre-dormital body rocking (jactatio) discovered that unilateral slow rhythmic movements of her right foot greatly facilitated falling sound asleep while reclining. Sleep served every time to terminate her migraine attack. Rhythmic movements may serve on occasion as a therapeutic hypnotic maneuver in migraine sufferers.
