Psychiatry and Clinical Psychopharmacology
Case Report

Psychogenic blepharospasm associated with Meige’s syndrome: a case report

1.

Department of Psychiatry, Adnan Menderes University, Aydin, Turkey

2.

Department of Psychiatry, Adnan Menderes University, Aydın, Turkey

3.

Department of Child and Adolesence Psychiatry, Dr Behcet Uz Child Diseases and Surgery Research and Training Hospital, Izmir, Turkey

Psychiatry and Clinical Psychopharmacology 2018; 28: 224-226
DOI: 10.1080/24750573.2017.1400935
Read: 1120 Downloads: 479 Published: 09 February 2021

Here we report a patient who presented a co-occurrence of Meige’s syndrome and psychogenic blepharospasm. At the first assessments, neurologists excluded conversion disorder because of the presence of a conflict and stress, absence of any markers for Meige’s syndrome, and a nonresponse to Botulinum toxin treatment. We determined bilateral blepharospasm, and oromandibular dystonia by neurological examination and EMG. The patient was diagnosed as primary Meige’s syndrome by the neurologists. Blepharospasm, which is triggered by emotional stress, caused secondary gains against her family. We decided that the patient had both psychogenic blepharospasm and Meige’s syndrome, which co-occurred nearly at the same interval three years ago. Similar to the seizure–pseudoseizure association, we supposed that Meige’s syndrome and concomitant psychogenic blepharospasm may indicate a coexistence of medical and conversion symptoms as in epileptic patients.

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