Back to Search Start Over

Orofacial dyskinesia post resection of pineal gland tumor.

Authors :
Yazbeck M
Dabboucy B
Comair Y
Source :
Journal of surgical case reports [J Surg Case Rep] 2020 Dec 26; Vol. 2020 (12), pp. rjaa465. Date of Electronic Publication: 2020 Dec 26 (Print Publication: 2020).
Publication Year :
2020

Abstract

We reported a case of a 33-year-old lady who was diagnosed with a Pineal tumor and underwent craniotomy and gross total surgical resection of the mass through a right occipital transtentorial approach. Immediately upon extubation, the patient started to have persistent chewing-like movements typical of orofacial dyskinesia that resulted later in buccal mucosal injury and swelling of the lips. The movements spontaneously resolved after 3 days. The patient was not taking any medications that were known to induce such movements. Literature review showed that one of the possible mechanisms could be that the suddenly reduced melatonin level in the acute postoperative period leads to dysregulation of dopamine secretion in the nigrostriatal and limbic system causing these abnormal movements. To the best of our knowledge, this is the first such reported complication of orofacial dyskinesia post craniotomy for resection of the pineal tumor in humans.<br /> (Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2020.)

Details

Language :
English
ISSN :
2042-8812
Volume :
2020
Issue :
12
Database :
MEDLINE
Journal :
Journal of surgical case reports
Publication Type :
Report
Accession number :
33391638
Full Text :
https://doi.org/10.1093/jscr/rjaa465