{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T12:06:51Z","timestamp":1753877211801,"version":"3.41.2"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2020,12,28]],"date-time":"2020-12-28T00:00:00Z","timestamp":1609113600000},"content-version":"vor","delay-in-days":27,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,12,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>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\u00a0days. 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.<\/jats:p>","DOI":"10.1093\/jscr\/rjaa465","type":"journal-article","created":{"date-parts":[[2020,10,13]],"date-time":"2020-10-13T19:23:19Z","timestamp":1602616999000},"source":"Crossref","is-referenced-by-count":0,"title":["Orofacial dyskinesia post resection of pineal gland tumor"],"prefix":"10.1093","volume":"2020","author":[{"given":"Mohamad","family":"Yazbeck","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Lebanese University, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Baraa","family":"Dabboucy","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Faculty of Medicine, Lebanese University, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youssef","family":"Comair","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Lebanese Hospital Geitawi, Beirut, Lebanon"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,12,26]]},"reference":[{"key":"2020122812294212700_ref1","first-page":"162","article-title":"Medication-induced tardive dyskinesia: a review and update","volume":"17","author":"Cornett","year":"2017","journal-title":"Ochsner J"},{"key":"2020122812294212700_ref2","doi-asserted-by":"crossref","DOI":"10.5334\/tohm.165","article-title":"An update on tardive dyskinesia: from phenomenology to treatment","author":"Waln","year":"2013","journal-title":"Tremor Other Hyperkinet Mov (N Y)"},{"key":"2020122812294212700_ref3","doi-asserted-by":"crossref","first-page":"303","DOI":"10.3109\/00207458909002174","article-title":"Increased incidence and severity of 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variables","volume":"51","author":"Gureje","year":"1988","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"2020122812294212700_ref10","doi-asserted-by":"crossref","first-page":"513","DOI":"10.1017\/S0033291700047401","article-title":"Sub-syndromes of tardive dyskinesia","volume":"10","author":"Kidger","year":"1980","journal-title":"Psychol Med"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/12\/rjaa465\/35137594\/rjaa465.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"http:\/\/academic.oup.com\/jscr\/article-pdf\/2020\/12\/rjaa465\/35137594\/rjaa465.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,12,28]],"date-time":"2020-12-28T17:31:15Z","timestamp":1609176675000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjaa465\/6048929"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,1]]},"references-count":10,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2020,12,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjaa465","relation":{},"ISSN":["2042-8812"],"issn-type":[{"type":"electronic","value":"2042-8812"}],"subject":[],"published-other":{"date-parts":[[2020,12]]},"published":{"date-parts":[[2020,12,1]]},"article-number":"rjaa465"}}