Meige's syndrome is BEB plus what feature?

Meige's syndrome is BEB plus what feature?

• A. Upper facial dystonia
• B. Lower facial dystonia
• C. Ptosis
• D. Lacrimal gland enlargement

Answer: (B)

Meige syndrome is blepharospasm paired with dystonia of the lower face. The eyelid spasm (blepharospasm) is the BEB part, and the defining additional feature is oromandibular dystonia that affects the muscles of the mouth and lower face. This combination distinguishes it from isolated blepharospasm. Upper facial dystonia would involve forehead/brow muscles, which isn’t the classic accompanying feature here; ptosis is a eyelid droop not a dystonic movement pattern, and lacrimal gland enlargement isn’t related to this movement disorder.

Meige syndrome is blepharospasm paired with dystonia of the lower face. The eyelid spasm (blepharospasm) is the BEB part, and the defining additional feature is oromandibular dystonia that affects the muscles of the mouth and lower face. This combination distinguishes it from isolated blepharospasm. Upper facial dystonia would involve forehead/brow muscles, which isn’t the classic accompanying feature here; ptosis is a eyelid droop not a dystonic movement pattern, and lacrimal gland enlargement isn’t related to this movement disorder.