Botulinum toxin type a improves pain in numb chin syndrome.

Botulinum toxin type A Neuropathic pain Numb chin syndrome

Journal

Toxicon : official journal of the International Society on Toxinology
ISSN: 1879-3150
Titre abrégé: Toxicon
Pays: England
ID NLM: 1307333

Informations de publication

Date de publication:
28 Dec 2023
Historique:
received: 12 09 2023
revised: 06 12 2023
accepted: 11 12 2023
medline: 2 1 2024
pubmed: 2 1 2024
entrez: 30 12 2023
Statut: aheadofprint

Résumé

Numb chin syndrome is a rare pain disorder characterized by decreased sensation and paresthesia in the territory of the mental nerve. Neuropathic pain is sometimes described in this setting, and the most common treatments include oral analgesics, gabapentinoids, and carbamazepine; however, botulinum toxin type A has never been used in this setting. We describe a case of bilateral numb chin syndrome, secondary to Burkitt lymphoma, associated with refractory and persistent burning neuropathic pain, effectively treated twelve times with subcutaneous Botulinum toxin type A (BoNT/A) injections. The procedure was well tolerated, but the patient reported incomplete mouth closure of minimal entity. BoNT/A could be a safe and effective therapy for neuropathic pain associated with numb chin syndrome.

Identifiants

pubmed: 38159684
pii: S0041-0101(23)00376-8
doi: 10.1016/j.toxicon.2023.107565
pii:
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

107565

Informations de copyright

Copyright © 2023. Published by Elsevier Ltd.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Auteurs

Yan Tereshko (Y)

Clinical Neurology Unit, Department of Head-neck and Neurosciences, Udine University Hospital, Piazzale Santa Maria Della Misericordia 15, 33100, Udine, Italy. Electronic address: tereshko.yan@spes.uniud.it.

Bruno Hector Ercole (B)

Clinical Neurology Unit, Department of Head-neck and Neurosciences, Udine University Hospital, Piazzale Santa Maria Della Misericordia 15, 33100, Udine, Italy.

Lettieri Christian (L)

Neurology Unit, Department of Head-neck and Neurosciences, Udine University Hospital, Piazzale Santa Maria Della Misericordia 15, 33100, Udine, Italy; Department of Medicine (DAME), University of Udine, Udine, Italy.

Enrico Belgrado (E)

Neurology Unit, Department of Head-neck and Neurosciences, Udine University Hospital, Piazzale Santa Maria Della Misericordia 15, 33100, Udine, Italy; Department of Medicine (DAME), University of Udine, Udine, Italy.

Simone Dal Bello (S)

Clinical Neurology Unit, Department of Head-neck and Neurosciences, Udine University Hospital, Piazzale Santa Maria Della Misericordia 15, 33100, Udine, Italy.

Merlino Giovanni (M)

Clinical Neurology Unit, Department of Head-neck and Neurosciences, Udine University Hospital, Piazzale Santa Maria Della Misericordia 15, 33100, Udine, Italy.

Gian Luigi Gigli (G)

Neurology Unit, Department of Head-neck and Neurosciences, Udine University Hospital, Piazzale Santa Maria Della Misericordia 15, 33100, Udine, Italy; Department of Medicine (DAME), University of Udine, Udine, Italy.

Mariarosaria Valente (M)

Clinical Neurology Unit, Department of Head-neck and Neurosciences, Udine University Hospital, Piazzale Santa Maria Della Misericordia 15, 33100, Udine, Italy; Neurology Unit, Department of Head-neck and Neurosciences, Udine University Hospital, Piazzale Santa Maria Della Misericordia 15, 33100, Udine, Italy; Department of Medicine (DAME), University of Udine, Udine, Italy.

Classifications MeSH