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Facial pain and trigeminal neuralgia secondary to metastasis A case report
Journal article   Open access   Peer reviewed

Facial pain and trigeminal neuralgia secondary to metastasis A case report

Davis C. Thomas, Steven R. Singer, Priyanka Kodaganallur Pitchumani, Giannina R. Katzmann and Divya Kohli
The Journal of the American Dental Association (1939), Vol.153(5), pp.484-488
05/01/2022
DOI: 10.1016/j.adaj.2021.06.011
PMID: 34489067
url
https://doi.org/10.1016/j.adaj.2021.06.011View
Published (Version of record) Open Access

Abstract

Background and Overview. Trigeminal neuralgia due to a metastatic lesion is a relatively rare occurrence. These cases pose a diagnostic challenge for the clinician due to a complex clinical presentation. Case Description. The authors describe the case of a 65-year-old woman with left-sided facial pain and occasional numbness. The patient also reported autonomic features associated with facial pain, facial muscular weakness, and hearing and visual impairment. The patient's history of breast cancer, for which she was receiving treatment for bone metastasis, warranted diagnostic imaging. Magnetic resonance imaging with and without contrast was performed and revealed a possible metastatic lesion. Conclusions and Practical Implications. Unusual clinical features must be identified, and prompt appropriate imaging is instrumental in making at an accurate diagnosis and management plan.
Dentistry, Oral Surgery & Medicine Life Sciences & Biomedicine Science & Technology

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