A pilot case-control study was conducted to identify possible risk factors
for Meige's syndrome. Patients with Meige's syndrome and age- and sex-match
ed controls suffering from other neurological diseases were recruited from
the Movement Disorders Clinic and Neurology Outpatient Department of the Al
l India Insititute of Medical Sciences. All participants were interviewed a
nd information regarding psychiatric and medical illnesses, use of medicati
ons, exposure to fumes, dust and pets, characteristics such as marital stat
us, socio-economic status, alcohol, tea/coffee use, tobacco use, betel nut
chewing and family history of neurodegenerative diseases among first-degree
relatives was ascertained. We found that betel nut with tobacco chewing wa
s a significant predictor for Meige's syndrome (adjusted odds ratio 7.4, 95
% confidence interval = 1.0-59.82). The role of local irritation or the eff
ect of some chemicals in tobacco and betel nuts needs further evaluation of
the pathogenesis of Meige's syndrome. Copyright (C) 2000 S. Karger AG, Bas
el.