Possible Causes for Facial Grimacing Chorea Gravidarum grimaces. [definitions.net] […] chorea which presents with involuntary abnormal movement, characterized by abrupt, brief, nonrhythmic, nonrepetitive movement of any limb, often associated with nonpatterned facial [definitions.net] Tourette Syndrome Some of the more common tics include: eye blinking and other vision irregularities, facial grimacing, shoulder shrugging, and head or shoulder jerking. [healthcare.utah.edu] Common tics include: Eye twitches Facial grimaces Throat clearing Sniffing Grunting Head or shoulder jerking Shoulder shrugging Words or phrases Deep brain stimulation surgery [neurosurgery.ucla.edu] Tarimas: /tʊˈrɛts/ tourette sindromas Paaiškinimas anglų kalba neurological disorder characterized by facial grimaces and tics and movements of the upper body and grunts and [angluzodynas.lt] Orofacial Dyskinesia On day 4 of treatment, she experienced involuntary, rhythmic facial grimacing accompanied by periodic cervical muscular contractures. [ncbi.nlm.nih.gov] grimacing (commonly involving lower facial muscles) Finger movement (piano playing movements) Rocking or thrusting of the pelvis (duck-like gait) Jaw swinging Repetitive [medlineplus.gov] Typical symptoms include facial grimacing, sticking out the tongue, sucking or fish-like movements of the mouth. [rarediseases.org] Rheumatic Chorea The symptoms vary in severity, from mild cases in which there is facial grimacing, restlessness and slight incoordination to severe cases where involuntary movements make [brainfoundation.org.au] grimacing. [sydenhamschorea.org.uk] In milder cases of Sydenham's, the patient may have only facial grimacing and some difficulty putting on clothes or doing other tasks that require fine coordination. [encyclopedia.com] Meige Syndrome Other symptoms related to the jaw can be: Facial grimacing Frowning Thrusting of the chin Displaced jaw Pain in the jaw Headaches Spasms can also occur in the tongue, throat [my.clevelandclinic.org] grimaces can settle and patients with Meige syndrome should keep hope for a better future. [infodystonia.com] Other jaw-related symptoms you might experience include: Facial grimacing. Frowning. Thrusting of the chin (involuntary chin jerks, usually while talking or eating). [my.clevelandclinic.org] Blepharospasm When blepharospasm is part of Meige's syndrome, it is associated with facial grimacing. [eyewiki.aao.org] We report on two cases who presented with involuntary facial grimacing and frowning. [ncbi.nlm.nih.gov] grimacing as in Meige syndrome, or a history of other abnormal movements such as tics or cogwheeling of the neck and extremities in extrapyramidal disease states. [eyewiki.aao.org] Athetoid Cerebral Palsy grimaces and drooling Difficulty swallowing or eating, which can lead to poor nutrition Difficulty sitting straight or walking Difficulty holding onto objects or performing [oshmanlaw.com] […] in muscle tone. [3] Coordinated activities such as reaching and grasping may also be challenging. [3] Muscles of the face and tongue can be affected, causing involuntary facial [en.wikipedia.org] […] movements grimacing heightened writing movements during times of emotional stress inability to stand still muscle tone fluctuations (alternating between significantly under [litigatorsinc.com] Senile Chorea The symptoms vary in severity--from mild cases in which there is restlessness, facial grimacing, and a slight degree of incoordination of movements, to severe cases involving [streetdirectory.com] Grimacing, which usually takes the form of caricatures of normal facial expressions, also occurs. [health24.com] Facial Spasm While this prevents the facial grimacing seen in HFS, it also prevents normal facial movement at the sites of injection. [blepharospasm.org] A variety of facial structure may twitch and there can be eyelid twitching and squinting, mouth twitching and grunting, nose wrinkling and general grimacing. [ic.steadyhealth.com] […] as facial twitchings and grimacing are frequently accepted as a ‘normal’ response to stress and anxiety. [academic.oup.com] Hallervorden-Spatz Syndrome grimacing Painful muscle spasms Diagnosis Enquire about family history, because the disease can be inherited. [askdrshah.com] grimacing painful muscle spasms HSD is a genetic disease. [healthline.com] The neurologic findings of movement disorder (blepharospasm, grimacing, facial and neck dystonia, tremors, chorea) and ataxia (gait ataxia, dysarthria) correspond to regions [treatable-id.org] Huntington Disease On physical examination, he has random facial grimaces with intermittent protrusion of the tongue and irregular shoulder jerks with athethoid movement of the distal extremities [iomcworld.org] Typical features include a bizarre, puppet-like gait, facial grimacing, inability to intentionally move the eyes quickly without blinking or head thrusting (oculomotor apraxia [merckmanuals.com] grimaces. [patient.info] Paroxysmal Non-Kinesigenic Dyskinesia There was no axial muscle involvement, nor any oromandibular dystonia or facial grimacing. [neurologyindia.com] Rheumatic Fever Facial grimacing (a distorted expression on the face) is common. Children may cluck their tongue, or the tongue may dart in and out of the mouth. [merckmanuals.com] grimacing, and explosive speech with or without tongue clucking. [msdmanuals.com] Characteristic findings include fluctuating grip strength (milkmaid’s grip), tongue fasciculations or tongue darting (the tongue cannot protrude without darting in and out), facial [msdmanuals.com] Trigeminal Neuralgia The pain attacks may be severe enough to cause a facial grimace, which is classically referred to as a painful tic (tic douloureux). [wakehealth.edu] We know that the ‘tic’ or facial grimace is just a reaction to the pain. There is no forced contraction of the face with the pain. [drhoney.org] Trigeminal neuralgia is inflammation of the trigeminal nerve, causing intense facial pain. [medicinenet.com] Anti-NMDA Receptor Encephalitis Examination on the day of admission revealed an awake, alert, and interactive male with focal speech production difficulties, asymmetric facial grimace, hyperactive deep tendon [dx.doi.org] Trigeminal Neuropathy Trigeminal neuralgia is inflammation of the trigeminal nerve, causing intense facial pain. [medicinenet.com] It is also known as tic douloureax because the intense pain can cause patients to contort their face into a grimace and cause the head to move away from the pain. [medicinenet.com] Wilson Disease Dystonia of the facial and oromandibular muscles provokes a grimacing appearance, often referred to as risus sardonicus, and is reported in 10–72% of WD cases (23,66). [atm.amegroups.com] Frontal Lobe Epilepsy grimacing, vocalization, or speech arrest; seizures are frequently preceded by a somatosensory aura; complex automatisms, such as kicking, laughing, or pelvic thrusting, [emedicine.medscape.com] Motor symptoms : Facial grimacing and complex automatisms like kicking and pelvic thrusting Vocal symptoms : Laughing, yelling, or speech arrest. [5] Primary motor cortex [en.wikipedia.org] grimace or swallowed (2%); in only 1% did the patient put the hands to the face and in another 1% the patient spoke or shouted. [academic.oup.com] Postherpetic Neuralgia Varicella is a common viral childhood infection that presents as a pruritic rash with the causative agent being the varicella zoster virus (VZV). The VZV infection is also known as “chicken pox” with initial recovery and subsequent reactivation of the virus being termed herpes zoster. Herpes zoster may be present[…] [symptoma.com] Rolandic Epilepsy Autosomal Dominant Rolandic Epilepsy with Speech Dyspraxia (ADRESD) is a rare disorder which highlights the relationship between Benign Rolandic Epilepsy (BRE) and speech and language disorders. Subtle speech and language disorders have recently been well characterised in BRE. ADRESD is associated with long term,[…] [ncbi.nlm.nih.gov] Hemiballismus Clinically : known diabetic patient, irregular with his anti diabetic treatment. Now presented with right side involuntary movement of body and face. Imaging finding of non contrast CT brain is left side / unilateral basal ganglionic hyper density. Diagnosis: Hyperglycaemic Hemichorea – Hemiballismus. SIMILAR CASE :[…] [neuroradiologycases.com] Ochoa Syndrome Urofacial syndrome (UFS) is a rare autosomal recessive disease characterized by facial grimacing when attempting to smile and failure of the urinary bladder to void completely [ncbi.nlm.nih.gov] grimacing. [ncbi.nlm.nih.gov] Individuals with Ochoa syndrome also exhibit a characteristic frown-like facial grimace when they try to smile or laugh, often described as inversion of facial expression. [rarediseases.oscar.ncsu.edu] Tic Disorder This could include eye blinking, facial grimacing, shoulder shrugging, and head or shoulder jerking. [gracepointwellness.org] Symptoms of chronic motor or vocal tic disorder : Shoulder shrugging Eye blinking Lip biting Facial grimacing Clearing of the throat Humming, sniffing, snorting, or squealing [childmind.org] Complex motor tics can include facial grimacing combined with a head twist and a shoulder shrug. [finspeds.com] Primary Torsion Dystonia Although nigrostriatal dopaminergic dysfunction has been suggested in early onset primary torsion dystonia (PTD) with the DYT1 mutation, the actual status of brain dopamine (DA) is unknown. In a DYT1 mutation-positive autopsy patient with PTD, we found that nigral cellularity was normal and that subregional striatal[…] [ncbi.nlm.nih.gov] Oromandibular Dystonia Male gender, orobuccolingual dyskinesias (facial grimacing, lip biting, tongue dyskinesias, platysma contractions and bruxism) and better response to botulinum toxin injections [ncbi.nlm.nih.gov] 2014 Articles Background: We present the case of a 65-year-old female with sudden-onset involuntary mouth opening, deviation of the jaw, facial grimacing, and tongue movements [academiccommons.columbia.edu] OMD is very frequently associated with orobuccolingual (OBL) dyskinesias like facial grimacing, lip pursing and biting, tongue protrusion, rotation and/or dyskinesias, platysma [head-face-med.biomedcentral.com] Lesch-Nyhan Syndrome Neurological symptoms include facial grimacing, involuntary writhing, and repetitive movements of the arms and legs similar to those seen in Huntington’s disease. [ninds.nih.gov] Additionally, the disease is known for neurological symptoms that begin early in life, including intellectual disability, poor muscle control, facial grimacing, writhing and [n.neurology.org] Drug-Induced Dystonia Buccolingual dystonia is the most common form. [ Hooker, 1988 ] Consists of dysarthria, mutism, trismus, tongue protruding or retracting, facial grimacing / distortions. [pedemmorsels.com] There were no perioral/tongue movements, facial grimacing, and difficulty in chewing, swallowing or breathing. [neurologyindia.com] Following administration of metoclopramide, symptoms can take up to 36 h to appear, and are usually in the form of involuntary limb movements, facial grimacing, torticollis [bmcresnotes.biomedcentral.com] Congenital Velopharyngeal Incompetence Nasal or facial grimace can be distracting to the listener. [nchn.org.au] Some people develop a change in their speaking pattern or a series of facial grimaces to try to overcome the difficulty. [medical-dictionary.thefreedictionary.com] grimace. [synapse.koreamed.org] Extrapyramidal Disorder It may be mild in form of persistent restlessness and clumsiness to sever one interfering with daily activity in form of sever invol. and forceful movement with facial grimacing [slideplayer.com] Facial grimacing. Repetitive tongue protrusion. Puckering, smacking and licking of the lips. Side-to-side motion of the jaw. [pocketdentistry.com] grimacing, torticollis Tongue protrusion or twisting Oculogyric crisis Opisthotonus of the back Acute treatment: anticholinergics or antihistamines First-line : benztropine [amboss.com] Facial Tic Disorder Simple facial tics like eye blinking, slight facial grimacing or slight facial twitching will usually be the first tic a child has. [njcts.org] Complex motor tics can include facial grimacing combined with a head twist and a shoulder shrug. [finspeds.com] Some common facial tics include: blinking the eyes wrinkling the nose sticking out or biting the tongue facial grimaces How do they occur? [kpjampang.com]
