Nerve afflictions of maxillofacial region: a report of two cases

Abstract

SUMMARYNeurological disorders and conditions affecting the maxillofacial region result in disabilities that affect an individual's functioning. Sensory or motor disturbances of the nerves may be caused by trauma, infections, pressure effect or infiltration by tumours or other health conditions. Two rare cases of nerve afflictions are described here with their typical clinical features. The first case had an involvement of maxillary, mandibular and ophthalmic divisions of the trigeminal nerve (sensory) due to herpes zoster infection in a very young patient and the second case had a unilateral isolated hypoglossal nerve palsy (motor) secondary to infiltration of the nerve by carcinoma of pyriform fossa. BACKGROUND

Involvement of Herpes Zoster in the Mandibular Branch of the Trigeminal Nerve: A New Case Report

“…Predisposing factors can be physical trauma (including dental procedures), psychological and surgical stress, malignancy, radiation therapy and immunocompromised states including transplant recipients, steroid therapy and HIV infection and increased age [3,4]. In fact, it reactivates most commonly in persons older than 50 years who have agerelated weakening of the immune system [1,4,5]. Therefore, prompt management is necessary to avoid morbidity and mortality in these individuals [3].…”

CD20-positive subcutaneous panniculitis-like T-cell lymphoma presenting as polycranial neuropathy: A CARE-compliant case report and literature review

“…The pyriform fossa is a site of transgression from one nerve territory into the other. [ 32 ] Local nerve infiltration can be erroneously diagnosed as Bell’s palsy or trigeminal neuralgia. [ 33 ] Unfortunately, our patient never underwent gadolinium-enhanced head magnetic resonance imaging, indicating insufficient evidence of CNS infiltration.…”