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A Case of Atypical Trigeminal Neuralgia Mistaken as Glossopharyngeal Neuralgia: A case report / 대한마취과학회지
Korean Journal of Anesthesiology ; : 772-774, 2006.
Artigo em Coreano | WPRIM | ID: wpr-183359
ABSTRACT
Trigeminal neuralgia (TGN) is a relatively well-known disorder with characteristic brief attacks of shooting pain in the facial regions. Atypical signs like constant pain and/or sensory abnormalities can develop as the disease progresses. Some cases begin with atypical signs and later develop all the hallmarks of TGN. The atypical forms of TGN can be misdiagnosed as other pain disorders. We present a patient with facial pain who demonstrated a transformation in signs of glossopharyngeal neuralgia into typical trigeminal neuralgia. A 71 year-old man was referred for sharp episodic pain in his right side of the face and neck. The pain was mainly in the neck, which was worsened especially by swallowing. The condition was initially diagnosed as a glossopharyngenl neuralgia. While controlling the pain conservatively with a sympathetic blockade, the neck pain disappeared suddenly and lower jaw pain triggered by speaking and chewing became prominent, which are the characteristic signs of trigeminal neuralgia.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Neuralgia do Trigêmeo / Dor Facial / Carbamazepina / Cervicalgia / Doenças do Nervo Glossofaríngeo / Deglutição / Arcada Osseodentária / Mastigação / Pescoço / Neuralgia Limite: Idoso / Humanos Idioma: Coreano Revista: Korean Journal of Anesthesiology Ano de publicação: 2006 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Neuralgia do Trigêmeo / Dor Facial / Carbamazepina / Cervicalgia / Doenças do Nervo Glossofaríngeo / Deglutição / Arcada Osseodentária / Mastigação / Pescoço / Neuralgia Limite: Idoso / Humanos Idioma: Coreano Revista: Korean Journal of Anesthesiology Ano de publicação: 2006 Tipo de documento: Artigo