Trigeminal trophic syndrome with features of oral CMV disease
| Autor: | Derek K. Marsee, Ramin Mostofi Zadeh Farahani, Lindsey R. Baden, Nathaniel S. Treister, Sook-Bin Woo |
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| Rok vydání: | 2008 |
| Předmět: |
Male
Pathology medicine.medical_specialty Antiviral Agents Neurosurgical Procedures Diagnosis Differential Trigeminal ganglion Trigeminal neuralgia Biopsy Humans Medicine Ganciclovir Oral Ulcer General Dentistry Alveolar mucosa Aged Trigeminal nerve medicine.diagnostic_test business.industry Syndrome Trigeminal Neuralgia medicine.disease Trigeminal Ganglion Otorhinolaryngology Trigeminal Nerve Diseases Cytomegalovirus Infections Immunohistochemistry Surgery Trigeminal trophic syndrome Oral Surgery business Complication |
| Zdroj: | Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontology. 106:e15-e18 |
| ISSN: | 1079-2104 |
| DOI: | 10.1016/j.tripleo.2008.05.002 |
| Popis: | Trigeminal trophic syndrome (TTS) is an exceedingly rare complication following injury to the trigeminal ganglion, characterized by painless ulcerations, which has only rarely been reported with intraoral features. We present a patient with multiple intraoral ulcerations of the right buccal and alveolar mucosa that had previously been treated with nerve ablation therapy for trigeminal neuralgia. Positive immunohistochemistry staining of a biopsy specimen for cytomegalovirus suggested a viral etiology; however, lesions persisted despite antiviral therapy, and immunohistochemistry was negative on follow-up biopsy. Diagnosis of TTS is one of exclusion as it can mimic many other conditions, and should be considered in patients with unilateral painless ulcerations with a history of trigeminal nerve damage. |
| Databáze: | OpenAIRE |
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