The Korean Journal of Pain

The Korean Pain Society (대한통증학회)
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Secondary Trigeminal Neuralgia Caused by Pharyngeal Squamous Cell Carcinoma - A Case Report -

  • Kim, Min Seok (Department of Anesthesiology and Pain Medicine, Seoul National University Hospital) ;
  • Ryu, Yong Jae (Department of Anesthesiology and Pain Medicine, Seoul National University Hospital) ;
  • Park, Soo Young (Korea University Medical Center) ;
  • Kim, Hye Young (Department of Anesthesiology and Pain Medicine, Seoul National University Hospital) ;
  • An, Sangbum (Department of Anesthesiology and Pain Medicine, Seoul National University Hospital) ;
  • Kim, Sung Woo (Gangneung Asan Hospital)
  • Received : 2012.09.17
  • Accepted : 2012.12.05
  • Published : 2013.04.01
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Abstract

Trigeminal neuralgia (TN) is characterized by recurrent paroxysms of unilateral facial pain that typically is severe, lancinating, and activated with cutaneous stimulation. There are two types of TN, classical TN and atypical TN. The pain nature of classical TN are the same as those described above, whereas atypical TN is characterized by constant, burning pain. We describe the case of a 49-year-old male presenting with right-sided facial pain. The patient was diagnosed with temporomandibular joint disorder at a dental clinic and was on medical treatment, but his symptoms worsened gradually. He was referred to our pain clinic for further evaluation. Radiologic evaluation, including MRI, showed a parapharyngeal tumor. For the relief of TN, a right mandibular nerve (V3) root block was performed at our pain clinic, and then he was scheduled for radiation and chemotherapy.

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References

  1. Cirak B, Kiymaz N, Arslanoglu A. Trigeminal neuralgia caused by intracranial epidermoid tumor: report of a case and review of the different therapeutic modalities. Pain Physician 2004; 7: 129-132.
  2. Miller JP, Acar F, Burchiel KJ. Classification of trigeminal neuralgia: clinical, therapeutic, and prognostic implications in a series of 144 patients undergoing microvascular decompression. J Neurosurg 2009; 111: 1231-1234. https://doi.org/10.3171/2008.6.17604
  3. Agrawal M, Agrawal V, Agrawal R, Pramod DS. Trigeminal neuralgia secondary to posterior fossa tumor. Natl J Maxillofac Surg 2010; 1: 71-73. https://doi.org/10.4103/0975-5950.69161
  4. Eller JL, Raslan AM, Burchiel KJ. Trigeminal neuralgia: definition and classification. Neurosurg Focus 2005; 18: E3.
  5. Klieb HB, Freeman BV. Trigeminal neuralgia caused by intracranial epidermoid tumour: report of a case. J Can Dent Assoc 2008; 74: 63-65.
  6. Pensak ML, Gluckman JL, Shumrick KA. Parapharyngeal space tumors: an algorithm for evaluation and management. Laryngoscope 1994; 104: 1170-1173.
  7. Koopman JS, Dieleman JP, Huygen FJ, de Mos M, Martin CG, Sturkenboom MC. Incidence of facial pain in the general population. Pain 2009; 147: 122-127. https://doi.org/10.1016/j.pain.2009.08.023
  8. Son DW, Choi CH, Cha SH. Epidermoid tumors in the cerebellopontine angle presenting with trigeminal neuralgia. J Korean Neurosurg Soc 2010; 47: 271-277. https://doi.org/10.3340/jkns.2010.47.4.271
  9. Penarrocha-Diago M, Mora-Escribano E, Bagan JV, Penarrocha-Diago M. Neoplastic trigeminal neuropathy: presentation of 7 cases. Med Oral Patol Oral Cir Bucal 2006; 11: E106-E111.
  10. Bisi MA, Selaimen CM, Chaves KD, Bisi MC, Grossi ML. Vestibular schwannoma (acoustic neuroma) mimicking temporomandibular disorders: a case report. J Appl Oral Sci 2006; 14: 476-481. https://doi.org/10.1590/S1678-77572006000600016
  11. Sato J, Saitoh T, Notani K, Fukuda H, Kaneyama K, Segami N. Diagnostic significance of carbamazepine and trigger zones in trigeminal neuralgia. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 2004; 97: 18-22. https://doi.org/10.1016/j.tripleo.2003.08.003
  12. Han KR, Kim YS, Kim C. Clinical features of trigeminal neuralgia. Korean J Pain 2007; 20: 174-180. https://doi.org/10.3344/kjp.2007.20.2.174

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