What is Meige syndrome

Meige syndrome is an eponym to describe a cranio-cervical dystonia with blepharospasm and dystonia of the muscles of the lower part of the face, the neck and the larynx as described in 1910 by  Henry Meige, a French neurologist .
Patients with Meige syndrome are patients over the age of 60, who complains of involuntary eye closure when trying to speak or to chew.It usually starts with a blepharospasm, which spreads down in 35 % of the cases to the mouth and the neck.

The chewing, swallowing and the speech can be impaired due to to the spread of the dystonia to the jaw, tongue, pharynx and  larynx.

The  spread to the neck can be responsible of a abnormal posture of head tilted in one side or the head shift backwards with a double chin posture. Sometimes the posture become more complex with flexion of the head and neck forward (antecolllis)

The pattern of activation of the eye closure changes from an isolated blepharospasm which is better when the patient is speaking and worst when the patient is silent to a spasm of eye closure when the mouth is activated.

Patient with Meige syndrome, also called cerico-cranail dystonia needs to be treated actively with drugs, botox injections around eyes, jaw, neck and throat. They benefit from joint ENT-Neuro clinic as they can be injected in every dystonic localisation in one session. the London BTX centre is the only private centre to offer such facilities with Dr Marion, working with Ms Hicklin, eNT surgeon and voice specialist.

Take a look at what my patients say about the treatment here