De Kock Lisa, Van der Cruyssen Fréderic, Gruijthuijsen Leonore, Politis Constantinus
Faculty of Medicine, University Leuven and Maxillofacial Surgery Department, University Hospitals Leuven, Leuven, Belgium.
OMFS IMPATH Research Group, Department of Imaging and Pathology, Faculty of Medicine, University of Leuven and Oral and Maxillofacial Surgery, University Hospitals Leuven, Leuven, Belgium.
Front Neurol. 2021 Nov 16;12:726437. doi: 10.3389/fneur.2021.726437. eCollection 2021.
Trigeminal sensory neuropathy can be caused by a variety of conditions, including local, traumatic, iatrogenic, or systemic causes. Diagnosis and management remain a challenge for maxillofacial surgeons and neurologists. Therefore, a good clinical examination and objective tests and imaging are needed when diagnosing patients who present with facial numbness. We present a case with spontaneous episodes of facial paresthesia. He was diagnosed with hereditary neuropathy with liability to pressure palsies (HNPP), a rare condition that affects the peripheral nerves. Only a few case reports that describe involvement of the cranial nerves in patients with HNPP were found in the literature, and facial paresthesia has not been previously reported.
三叉神经感觉神经病变可由多种情况引起,包括局部、创伤性、医源性或全身性原因。诊断和治疗对颌面外科医生和神经科医生来说仍然是一项挑战。因此,在诊断出现面部麻木的患者时,需要进行良好的临床检查、客观测试和影像学检查。我们报告一例面部感觉异常自发发作的病例。他被诊断为遗传性压力易感性周围神经病(HNPP),这是一种影响周围神经的罕见疾病。文献中仅发现少数描述HNPP患者颅神经受累的病例报告,且此前尚未有面部感觉异常的报道。