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Isolated Trigeminal Neuropathy due to Trigeminal Nerve Root Hemorrhage

Published online by Cambridge University Press:  02 December 2014

S. Almeida ,
C. Chalk ,
J. Minuk ,
R. Del Carpio ,
M. Guerin  and
M. Levental
S. Almeida
Affiliation:
Department of Neurology and Neurosurgery, McGill University, Montréal
C. Chalk
Affiliation:
Department of Neurology and Neurosurgery, McGill University, Montréal
J. Minuk
Affiliation:
Department of Neurology and Neurosurgery, McGill University, Montréal
R. Del Carpio
Affiliation:
Department of Radiology, McGill University, Montréal
M. Guerin
Affiliation:
Department of Radiology, McGill University, Montréal
M. Levental
Affiliation:
Department of Radiology, McGill University, Montréal
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Abstract

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Background:

Isolated trigeminal neuropathy is uncommon; causes include trauma, inflammation, or neoplasm.

Methods:

We report a patient who fell and struck his head during a myocardial infarction, was treated with streptokinase, and developed symptoms and signs of an isolated trigeminal sensory neuropathy.

Results:

Imaging showed hemorrhage in the trigeminal nerve root; follow-up imaging showed resolution of the hemorrhage, but no underlying structural lesion.

Conclusion:

A combination of head trauma plus thrombolysis resulted in an isolated trigeminal neuropathy.

Résumé

RÉSUMÉ<span class='bold'><span class='italic'>Introduction:</span></span>

La neuropathie isolée du trijumeau est un problème rare causé entre autres par un traumatisme, de l’in- flammation ou une néoplasie.

<span class='italic'><span class='bold'>Méthodes:</span></span>

Nous rapportons le cas d’un patient qui s’est frappé la tête en tombant au moment d’un infarctus du myocarde traité par streptokinase et qui a développé des symptômes et des signes de neu- ropathie sensorielle isolée du trijumeau.

<span class='italic'><span class='bold'>Résultats:</span></span>

L’imagerie a montré une hémorragie dans la racine du nerf tri- jumeau. Au cours du suivi, l’imagerie a montré une résolution de l’hémorragie sans lésion structurale sous-jacente.

<span class='italic'><span class='bold'>Conclusion:</span></span>

Une malencontreuse coïncidence de traumatisme crânien et de thrombolyse a provoqué une neuropathie isolée du trijumeau chez ce patient.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 26 , Issue 3 , November 1999 , pp. 204 - 206
Copyright
Copyright © The Canadian Journal of Neurological 1999

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