Trigeminal trophic syndrome is a rare condition resulting from self-manipulation of the skin after a peripheral or central injury to the trigeminal system. The syndrome consists of a classic triad of anaesthesia, paraesthesia, and a secondary persistent or recurrent facial ulceration. We describe a 60 year-old woman who developed this syndrome as a sequel to the gasserian ganglion block for trigeminal neuralgia. She had also developed melasma within 1 year. A remarkable benefit was achieved by proper patient education and topical antibiotics which led to the healing of all ulcerations within 4 weeks. In the case reported here, the diagnosis of the trigeminal trophic syndrome was made primarily as a result of the physician's experience with the syndrome previously.
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http://dx.doi.org/10.4103/0378-6323.86501 | DOI Listing |
Actas Dermosifiliogr
November 2024
Servicio de Dermatología, Hospital Universitario San Cecilio, Granada, Spain.
Spec Care Dentist
December 2024
Department of Oral Medicine, University of Pennsylvania, School of Dental Medicine, Philadelphia, USA.
Introduction: Destruction of the trigeminal (Gasserian) ganglion or peripheral damage to the trigeminal nerve may lead to trigeminal trophic syndrome (TTS), a rare condition characterized by self-inflicted trauma. To date, under 200 cases of TTS are documented in medical literature, with only sparse studies reporting on oral complications secondary to this condition.
Case Report: The following report presents a well-documented case of oral complications associated with TTS in an 83-year-old Caucasian female presenting with right-sided lesions on her nasal ala, scalp, buccal mucosa, and tongue, secondary to self-inflicted injury following their second microvascular decompression for surgical management of trigeminal neuralgia.
WMJ
November 2024
University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
Cureus
September 2024
Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust, London, GBR.
Cornea
February 2025
John F. Hardesty Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, MO.
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