Peñarrocha M, Alfaro A, Bagán J V, López-Trigo J
School of Dentistry, Valencia University, Spain.
J Oral Maxillofac Surg. 1992 May;50(5):472-6. doi: 10.1016/s0278-2391(10)80318-0.
Idiopathic trigeminal sensory neuropathy is a rare disorder characterized by transient sensory disturbances in the territory of one or more branches of the trigeminal nerve. Acute and chronic forms of the disease have been recognized, but the boundaries between these groups are not clearly defined. Six cases of idiopathic trigeminal sensory neuropathy are reported. All patients presented with sensory abnormalities limited to the territory of one trigeminal nerve, in the absence of other clinical features. The symptoms were on the left side of the face in five cases and on the right side in one. No bilateral involvement was seen. There were no cases of muscle weakness, and the corneal reflex was always present. In two cases, sensory disturbances began in the tongue or lips and later spread through the entire territory of the three trigeminal branches. Both patients recovered completely after 3 months. The other four patients had involvement of the second and third branches (two cases), or the third branch alone (two cases), and the symptoms persisted unmodified for 2 to 4 years. There were no clinical variables at onset to enable one to predict an acute or chronic evolution of the disease.
特发性三叉神经感觉神经病是一种罕见疾病，其特征为三叉神经一个或多个分支区域出现短暂性感觉障碍。该病已被确认为急性和慢性两种形式，但这两组之间的界限并不明确。本文报告了6例特发性三叉神经感觉神经病。所有患者均表现为仅限于一支三叉神经区域的感觉异常，且无其他临床特征。5例患者症状出现在面部左侧，1例出现在右侧。未见双侧受累情况。无肌肉无力病例，角膜反射始终存在。2例患者感觉障碍始于舌部或唇部，随后蔓延至三叉神经三个分支的整个区域。两名患者均在3个月后完全康复。其他4例患者第二和第三分支受累（2例），或仅第三分支受累（2例），症状持续2至4年未改变。发病时没有临床变量能够预测疾病的急性或慢性演变。
