A Case Report on the Management of Meige Syndrome

Abstract

Meige syndrome is a rare neurological movement disorder characterized by involuntary, forceful and often painful contractions of the facial muscles. It typically presents as a combination of blepharospasm and oromandibular dystonia. This case report discusses a 53-year-old female patient, diagnosed with Meige syndrome, who presented to the Outpatient Department of Government Ayurveda Medical College, Thiruvananthapuram, with complaints of pain over the temporomandibular joint, repetitive jaw movements and involuntary, recurrent closure of both eyelids for the past 5 years. The treatment principle adopted in this case was based on Ardhita Chikitsa. She was given internal medications such as Indukantham ghritam, Dhanadanayanadi Kashayam, Dhanwantaram 101A, Yogaraja guggulu tablets, along with external procedures like Thalam, Jaloukavacharana, Nasya, Ksheeradhooma, Shirodhara, Gandusham, Shashtika Pinda Swedam and Agnikarma. The treatment duration was one month, with follow-ups continued for three months and changes were assessed at the third follow-up. Follow-up medicines were Murdhini Tailam and mukhabhyangam with Balatailam, Pratimarsha Nasyam with Dhanwantaram 41A and Tablet Yogaraja Guggulu as internal medicine. The changes were assessed after the third follow-up using the Jankovic Rating Scale (JRS) and the Oromandibular Dystonia Rating Scale (OMDRS). This management approach suggests that Ayurvedic interventions may serve as a promising and effective therapeutic modality in the management of Meige syndrome.