Bilateral Trigeminal Trophic Syndrome

Abstract

Trigeminal trophic syndrome (TTS) is a rare condition that arises secondary to damage to the peripheral or central sensory pathways of the trigeminal nerve. TTS classically presents with a triad of trigeminal anesthesia, facial paresthesias, and selfinduced lateral ala nasi ulceration. TTS should be considered in the differential diagnoses of unilateral facial ulcerations due to the unique management that it requires. Patient education to prevent compulsive manipulation of the lesion is a fundamental piece to the treatment of TTS. We describe a 65-year-old woman who presented with a rare case of bilateral trigeminal trophic syndrome and right-sided nasal ulceration.