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İzole Trigeminal Sensoriyel Nöropati ile Presente Olan Beyin Sapı İnfarktı (Olgu Sunumu)

Brain Stem Infarction Presenting as Isolated Trigeminal Sensory Neuropathy (Case Report)

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 2005

Key Words:

Keywords (Original Language):

Author Name
Abstract (2. Language): 
Objective: We present a patient with isolated trigeminal sensory neuropathy secondary to the involvement of brain stem. Material and method: A 49 year-old man who has numbness on the right side of his face and oral cavity was investigated. Cranial MRI revealed ischemic focus at right inferior dorsolateral pontine region. The only risk factor was protein S deficiency. The symptoms of the patient disappeared almost completely within a month. Conclusion: When an isolated trigeminal sensory neuropathy is diagnosed, one should think of brain stem involvement and investigate the risk factors for occlusive vessel diseases.
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Abstract (Original Language): 
Amaç: Beyin sapı tutulumuna bağlı izole trigeminal sensoriyel nöropatisi olan bir olgu sunulmaktadır. Gereç ve yöntem: Yüzünün sağ yarısı ve ağız içinde uyuşma nedeni ile incelenen 49 yaşındaki erkek hastanın kranial MRG'sinde sağ inferior dorsolateral pontin bölgede iskemik odak saptandı. Hastadaki tek risk faktörü protein S eksikliği idi. Hastanın yakınmaları bir ay içinde tamamen düzeldi. Sonuç: İzole trigeminal sensoriyel nöropati tanısı konduğunda beyin sapı tutulumuna bağlı olabileceği düşünülmeli ve tıkayıcı damar hastalığı için risk faktörleri araştırılmalıdır.
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  • 1
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  • Turkish

REFERENCES

References: 

1. Ishii K, Tamaoka A, Shoji S. Dorsolateral pontine segmental infarction presenting as isolated trigeminal sensory neuropathy. J Neurol Neurosurg Psychiatry 1998; 65:702.
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Brain Stem Infarction Presenting as Isolated Trigeminal Sensory Neuropathy (Case Report)
2. Pedraza L, Campero M. Trigeminal sensory neuropathy: anatomico-physiological correlation. J Neurol Neurosug Psychiatry 2000; 68:390.
3. Holtzman RN, Zablozki V, Yong WC, Leeds NE. Lateral pontine tegmental hemorrhage presenting as isolated trigeminal sensory neuropathy. Neurology 1987; 37: 704-6.
4. Nakamura K, Yamamoto T, Yamashita M. Small medullary infarction presenting as isolated trigeminal sensory neuropathy. J Neurol Neurosurg Psychiatry 1996; 61:138.
5. Adams RD, Victor M, Ropper AH. Principles of Neurology 7th ed. New York: Mc Graw-Hill, 2001.
6. Hughess RAC. Disease of the fifth cranial nerve. In: Dyck PJ, Thomas PK, Lambert EH, et al (eds): Pheripheral Neuropathy, 3rd ed. Philadelphia, Saunders, 1993: 801-817.

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