Peñarrocha M, Alfaro A, Bagán J V
School of Dentistry, University of Valencia, Spain.
Oral Surg Oral Med Oral Pathol. 1993 Jun;75(6):712-5. doi: 10.1016/0030-4220(93)90428-7.
Idiopathic trigeminal 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 to our knowledge no recurrent cases have been reported. Two cases of recurrent idiopathic trigeminal sensory neuropathy are reported. The patients presented sensory alterations limited to the territory of the trigeminal nerve in the absence of other clinical features. In both cases sensory disturbances began in the tongue and lips and later spread throughout the face. The whole trigeminal nerve territory was involved in the first patient, but in the second patient only the second and third trigeminal branches were affected. There was no muscle weakness or pain, and the corneal reflex was present in both patients. The first patient recovered completely after 3 months, but the symptoms recurred in a similar fashion 3 years later. In the second patient the symptoms occurred each winter for more than 10 years. The conditions in these two patients could be considered as recurrent idiopathic forms of trigeminal sensory neuropathy.
特发性三叉神经病变是一种罕见疾病，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。该疾病的急性和慢性形式已得到确认，但据我们所知，尚无复发病例的报道。本文报告了两例复发性特发性三叉神经感觉神经病变。患者出现局限于三叉神经区域的感觉改变，无其他临床特征。两例患者的感觉障碍均始于舌部和唇部，随后蔓延至整个面部。首例患者整个三叉神经区域均受累，而第二例患者仅三叉神经的第二和第三分支受到影响。患者均无肌肉无力或疼痛症状，且角膜反射存在。首例患者3个月后完全康复，但3年后症状以类似方式复发。第二例患者的症状在10多年间每年冬季都会出现。这两名患者的病情可被视为复发性特发性三叉神经感觉神经病变形式。
