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三叉神经分布区域的麻木——三叉神经营养综合征还是病毒性神经炎:诊断难题!

Numbness over the distribution of trigeminal nerve--trigeminal trophic syndrome or viral neuritis: a diagnostic dilemma!

作者信息

Patil Pankaj, Chandan Sanjay, Singh Vikram, Gadre Kiran, Halli Rajshekhar, Gadre Pushkar

机构信息

Department of Oral and Maxillofacial Surgery, School of Dental Sciences, Krishna Institute of Medical Sciences, Deemed University, Karad, Maharashta, India.

出版信息

J Craniofac Surg. 2013 Jul;24(4):e432-4. doi: 10.1097/SCS.0b013e3182942dff.

DOI:10.1097/SCS.0b013e3182942dff
PMID:23851893
Abstract

Numbness and ulceration of the face, particularly erosion of ala of the nose, sometimes occur after sensory denervation in the territory of the divisions of the trigeminal nerve. The incidence is uncertain and usually follows surgical treatments for trigeminal neuralgia. Such condition is known as trigeminal trophic syndrome (TTS), although some authors believe it to be a special form of dermatitis artefacta. Trigeminal trophic syndrome most commonly affects adults, after iatrogenic, vascular, viral, or neoplastic damage to the trigeminal nerve. We present a rare case of TTS in a 32-year-old woman who was referred to us with progressive numbness in the right upper and lower lip region.

摘要

面部麻木和溃疡,尤其是鼻翼糜烂,有时会在三叉神经分支区域进行感觉神经切除术后出现。其发病率尚不确定,通常发生在三叉神经痛的外科治疗之后。这种情况被称为三叉神经营养综合征(TTS),尽管一些作者认为它是人工皮炎的一种特殊形式。三叉神经营养综合征最常影响成年人,继发于三叉神经的医源性、血管性、病毒性或肿瘤性损伤之后。我们报告一例罕见的三叉神经营养综合征病例,患者为一名32岁女性,因右上唇和下唇区域进行性麻木前来就诊。

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Numbness over the distribution of trigeminal nerve--trigeminal trophic syndrome or viral neuritis: a diagnostic dilemma!三叉神经分布区域的麻木——三叉神经营养综合征还是病毒性神经炎:诊断难题!
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An atypical case of trigeminal trophic syndrome: A legal medicine perspective in medical responsibility.三叉神经营养综合征的一个非典型病例:医疗责任中的法医学视角
SAGE Open Med Case Rep. 2017 Jul 27;5:2050313X17723548. doi: 10.1177/2050313X17723548. eCollection 2017.