Résumé
El síndrome trófico trigeminal es una enfermedad infrecuente caracterizada por úlceras faciales autoprovocadas en regiones de anestesia o hipoestesia, secundarias al daño del nervio trigémino. Presentamos tres casos de este síndrome en seguimiento en nuestro centro.
Trigeminal trophic syndrome is an uncommon disease characterized by self-inflicted facial ulcers in anesthetic or hypoesthetic areas, secondary to trigeminal nerve damage. We present three cases in follow up at our hospital.
Sujets)
Humains , Femelle , Adulte d'âge moyen , Sujet âgé de 80 ans ou plus , Ulcère cutané/traitement médicamenteux , Atteintes du nerf trijumeau , Maladies de la peau/complications , Ulcère , Prégabaline/administration et posologieRésumé
A 7 year-old male patient who suffer from trigeminal trophic syndrome following herpes zoster was treated with a combination of rokumigan and sansoninto. We conclude that the pathogeneses in this case were excessive rises in liver yang and liver wind caused by yin deficiencies of the kidneys and liver, and that these were ameliorated by the effect of the rokumigan and sansoninto combination in nourishing kidney yin, clearing away heat-evil, and eliminating restlessness.
Résumé
Trigeminal trophic syndrome is a rare condition resulting from self-manipulation of the skin after a peripheral or central injury to the trigeminal system. The syndrome consists of a classic triad of anaesthesia, paraesthesia, and a secondary persistent or recurrent facial ulceration. We describe a 60 year-old woman who developed this syndrome as a sequel to the gasserian ganglion block for trigeminal neuralgia. She had also developed melasma within 1 year. A remarkable benefit was achieved by proper patient education and topical antibiotics which led to the healing of all ulcerations within 4 weeks. In the case reported here, the diagnosis of the trigeminal trophic syndrome was made primarily as a result of the physician's experience with the syndrome previously.