Facial pain and trigeminal neuralgia secondary to metastasis: A case report.
Cancer
imaging
neuropathic pain
secondary neuralgia
space occupying lesion
symptomatic trigeminal neuralgia
Journal
Journal of the American Dental Association (1939)
ISSN: 1943-4723
Titre abrégé: J Am Dent Assoc
Pays: England
ID NLM: 7503060
Informations de publication
Date de publication:
05 2022
05 2022
Historique:
received:
07
04
2021
accepted:
16
06
2021
pubmed:
8
9
2021
medline:
3
5
2022
entrez:
7
9
2021
Statut:
ppublish
Résumé
Trigeminal neuralgia due to a metastatic lesion is a relatively rare occurrence. These cases pose a diagnostic challenge for the clinician due to a complex clinical presentation. The authors describe the case of a 65-year-old woman with left-sided facial pain and occasional numbness. The patient also reported autonomic features associated with facial pain, facial muscular weakness, and hearing and visual impairment. The patient's history of breast cancer, for which she was receiving treatment for bone metastasis, warranted diagnostic imaging. Magnetic resonance imaging with and without contrast was performed and revealed a possible metastatic lesion. Unusual clinical features must be identified, and prompt appropriate imaging is instrumental in making at an accurate diagnosis and management plan.
Sections du résumé
BACKGROUND AND OVERVIEW
Trigeminal neuralgia due to a metastatic lesion is a relatively rare occurrence. These cases pose a diagnostic challenge for the clinician due to a complex clinical presentation.
CASE DESCRIPTION
The authors describe the case of a 65-year-old woman with left-sided facial pain and occasional numbness. The patient also reported autonomic features associated with facial pain, facial muscular weakness, and hearing and visual impairment. The patient's history of breast cancer, for which she was receiving treatment for bone metastasis, warranted diagnostic imaging. Magnetic resonance imaging with and without contrast was performed and revealed a possible metastatic lesion.
CONCLUSIONS AND PRACTICAL IMPLICATIONS
Unusual clinical features must be identified, and prompt appropriate imaging is instrumental in making at an accurate diagnosis and management plan.
Identifiants
pubmed: 34489067
pii: S0002-8177(21)00380-9
doi: 10.1016/j.adaj.2021.06.011
pii:
doi:
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
484-488Informations de copyright
Copyright © 2022 American Dental Association. Published by Elsevier Inc. All rights reserved.