Omolehinwa Temitope T, Musbah Thamer, Desai Bhavik, O'Malley Bert W, Stoopler Eric T
Postdoctoral Fellow, Department of Oral Medicine, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania, USA.
First year resident, Orofacial Pain program, University of Kentucky College of Dentistry, Lexington, Kentucky, USA.
Oral Surg Oral Med Oral Pathol Oral Radiol. 2015 Mar;119(3):e101-4. doi: 10.1016/j.oooo.2014.12.015. Epub 2015 Jan 3.
Head and neck neoplasms may be difficult to detect because of wide-ranging symptoms and the presence of overlapping anatomic structures in the region. This case report describes a patient with chronic otalgia and temporomandibular disorder, who developed sudden-onset neuralgia while receiving transcutaneous electrical nerve stimulation (TENS) therapy. Further diagnostic evaluation revealed a skull base tumor consistent with adenoid cystic carcinoma. To our knowledge, this is the first report of TENS-associated neuralgia leading to a diagnosis of primary intracranial adenoid cystic carcinoma.
头颈部肿瘤可能难以检测，因为其症状范围广泛且该区域存在重叠的解剖结构。本病例报告描述了一名患有慢性耳痛和颞下颌关节紊乱的患者，该患者在接受经皮电刺激神经疗法（TENS）治疗时突然出现神经痛。进一步的诊断评估发现了一个与腺样囊性癌相符的颅底肿瘤。据我们所知，这是首例因TENS相关神经痛而诊断为原发性颅内腺样囊性癌的报告。
