Numb chin syndrome (NCS) is characterized by numbness in an area of the chin and lower lip along the distribution of the mental or inferior alveolar nerves, a branch of the mandibular division of the trigeminal nerve. Most cases of NCS are due to diffuse metastatic disease, especially associated with underlying lymphoproliferative and breast cancer. Other less like causes are dental, traumatic, toxic, drug-induced, or infectious. NCS may be the initial symptom of malignancy or metastasis in patients with cancer. Axial and vertebral bone metastases are common in patients with carcinoma of the prostate; however, involvement of the branches of the trigeminal nerve is rare. We present a case of the NCS in a 59-year-old man with metastatic prostate adenocarcinoma to the base of the skull.
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http://dx.doi.org/10.1016/j.radcr.2020.07.085 | DOI Listing |
Rinsho Shinkeigaku
September 2024
Department of Neurology, Chubu Rosai Hospital.
We report a case of numb chin syndrome caused by a small cortical infarction in the postcentral gyrus. A 67-year-old man suddenly developed numbness in his right lower lip and the chin. There were no apparent abnormal neurological symptoms other than numbness.
View Article and Find Full Text PDFJ Dent Sci
July 2024
Division of Oral and Maxillofacial Surgery, Department of Dentistry, Taipei Chang Gung Memorial Hospital, Taipei, Taiwan.
Cureus
March 2024
Department of Maxillofacial Diagnostic and Surgical Science, Kagoshima University, Kagoshima, JPN.
Numb chin syndrome (NCS) is hypesthesia of the mandible and lower lip caused by damage to the inferior alveolar or mandibular nerves, commonly due to dental treatment or osteomyelitis, but occasionally caused by malignant tumors. We report the case of a male in his 60s. He came to our hospital with a chief complaint of mandibular pain and paresthesia in the right side of the mental region.
View Article and Find Full Text PDFFront Oncol
March 2024
SingHealth Duke-NUS Breast Centre, SingHealth, Singapore, Singapore.
Background: Numb cheek syndrome, a rare corollary of numb chin syndrome, is due to infra-orbital neuropathy. It can occur in association with an underlying malignancy, which can cause neuropathy by direct malignant nerve infiltration or via a paraneoplastic mechanism. Although numb cheek syndrome has been reported in association with a variety of cancers, it has previously not been reported in association with breast cancer.
View Article and Find Full Text PDFBiomed Rep
April 2024
Department of Oral and Maxillofacial Functional Rehabilitation, Graduate School of Medicine, University of The Ryukyus, Nishihara, Okinawa 903-0215, Japan.
Gallbladder cancer (GBC) is an uncommon malignancy that is highly aggressive in the advanced stages. However, it rarely metastasizes to the mandible. Numb chin syndrome (NCS) is a rare neurological manifestation associated with various underlying causes, including occult primary cancers and distant metastases.
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