{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T05:53:42Z","timestamp":1792043622270,"version":"4.4.0"},"reference-count":12,"publisher":"American Academy of Pediatrics (AAP)","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2016,11,1]]},"abstract":"<jats:p>Dystonia is characterized by sustained or intermittent muscle contractions causing abnormal, often repetitive movements, postures, or both that are typically patterned, twisting, and sometimes tremulous. It is often initiated or worsened by voluntary action and associated with overflow muscle activation. In this article we report a case of severe oromandibular dystonia, which is a specific form of dystonia characterized by involuntary, action-induced tonic or clonic spasms of the masticatory, lingual, and pharyngeal musculature. Episodes of repeated tongue biting in a 17-month-old girl caused her to stay in the PICU for 4 weeks. These episodes were the consequence of dystonia induced by a perinatal stroke. We highlight the specific dental management that enabled us to treat the child without extractions. Facing this type of complex illness, we insist on the importance of interdisciplinary work with the goal of avoiding outdated techniques. The use of botulinum toxin seemed relevant.<\/jats:p>","DOI":"10.1542\/peds.2016-0738","type":"journal-article","created":{"date-parts":[[2016,10,6]],"date-time":"2016-10-06T09:07:51Z","timestamp":1475744871000},"source":"Crossref","is-referenced-by-count":5,"title":["Case Report of a Severe Recurrent Tongue Self-Injury in an Infant With Dystonia"],"prefix":"10.1542","volume":"138","author":[{"given":"Oliver","family":"Brissaud","sequence":"first","affiliation":[{"name":"Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"No\u00eblie-Brunehilde","family":"Th\u00e9baud","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France;"},{"name":"Universit\u00e9 de Bordeaux, Bordeaux, France; and"},{"name":"Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale, Bioing\u00e9nierie Tissulaire, Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julie","family":"Guichoux","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rawen","family":"Smirani","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France;"},{"name":"Universit\u00e9 de Bordeaux, Bordeaux, France; and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fr\u00e9d\u00e9ric","family":"Villega","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rapha\u00ebl","family":"Devillard","sequence":"additional","affiliation":[{"name":"Centre Hospitalier Universitaire de Bordeaux, Bordeaux, France;"},{"name":"Universit\u00e9 de Bordeaux, Bordeaux, France; and"},{"name":"Institut National de la Sant\u00e9 et de la Recherche M\u00e9dicale, Bioing\u00e9nierie Tissulaire, Bordeaux, France"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"417","published-online":{"date-parts":[[2016,11,1]]},"reference":[{"issue":"10","key":"2021121017543515400_B1","doi-asserted-by":"crossref","first-page":"1292","DOI":"10.1111\/j.1468-1331.2011.03649.x","article-title":"Treatment for dystonia in childhood.","volume":"19","author":"Roubertie","year":"2012","journal-title":"Eur J Neurol"},{"issue":"3","key":"2021121017543515400_B2","doi-asserted-by":"crossref","first-page":"332","DOI":"10.1016\/0278-2391(95)90235-X","article-title":"Oromandibular dystonia treated with botulinum toxin: report of case","volume":"53","author":"Heise","year":"1995","journal-title":"J Oral Maxillofac Surg"},{"issue":"1","key":"2021121017543515400_B3","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1111\/j.1600-9657.2012.01121.x","article-title":"Oral self-injury: an update.","volume":"29","author":"Limeres","year":"2013","journal-title":"Dent Traumatol"},{"issue":"4","key":"2021121017543515400_B4","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1046\/j.1365-263X.2002.00371.x","article-title":"Teeth grinding, tongue and lip biting in a 24-month-old boy with meningococcal septicaemia. 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