Toothache Caused by Trigeminal Neuralgia Secondary to Vestibular Schwannoma: A Case Report

Mehrkhodavandi, Neema; Green, Daniel; Amato, Robert J.

doi:10.1016/j.joen.2014.03.008

Cited by 9 publications

(10 citation statements)

References 21 publications

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“…Few case reports [5, 9, 20] were published with a confirmed diagnosis of AN mimicking orofacial pain, whereas most of the cases [21–23] in the literature are of trigeminal neuralgia secondary to acoustic neuroma. In our case, the patient manifested features of orofacial pain in early visits but in late stage clinical features suggested trigeminal neuralgia.…”

Section: Discussionmentioning

confidence: 99%

Acoustic Neuroma Mimicking Orofacial Pain: A Unique Case Report

Ramdurg

Srinivas

Mendigeri

et al. 2016

Case Reports in Otolaryngology

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Acoustic neuroma (AN), also called vestibular schwannoma, is a tumor composed of Schwann cells that most frequently involve the vestibular division of the VII cranial nerve. The most common symptoms include orofacial pain, facial paralysis, trigeminal neuralgia, tinnitus, hearing loss, and imbalance that result from compression of cranial nerves V–IX. Symptoms of acoustic neuromas can mimic and present as temporomandibular disorder. Therefore, a thorough medical and dental history, radiographic evaluation, and properly conducted diagnostic testing are essential in differentiating odontogenic pain from pain that is nonodontogenic in nature. This article reports a rare case of a young pregnant female patient diagnosed with an acoustic neuroma located in the cerebellopontine angle that was originally treated for musculoskeletal temporomandibular joint disorder.

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Section: Discussionmentioning

confidence: 99%

Acoustic Neuroma Mimicking Orofacial Pain: A Unique Case Report

Ramdurg

Srinivas

Mendigeri

et al. 2016

Case Reports in Otolaryngology

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“…Acoustic neuroma (AN), or vestibular schwannoma, is an example of an intracranial tumor that may cause orofacial pain 3–11 . In the United States, its incidence is 1.2 per 100 000 people per year 12 .…”

Section: Introductionmentioning

confidence: 99%

“…In the United States, its incidence is 1.2 per 100 000 people per year 12 . It is a benign brainstem tumor involving abnormal growth and proliferation of Schwann cells that most commonly involves the vestibular division of the eighth cranial nerve supplying the inner ear 3–5 . Although benign, AN can lead to serious morbidity through compression of vital structures such as cranial nerves V to XII and the brainstem 4,5,13 …”

Section: Introductionmentioning

confidence: 99%

“…The most typical symptoms associated with AN are hearing loss and tinnitus, but disequilibrium, vertigo, dizziness, numbness or tingling in the face, headache and symptoms, such as temporomandibular disorders (TMD) may also occur 2,3,12,14,15 . Trigeminal neuralgia (TN) and trigeminal neuropathy secondary to AN are also possible symptoms that occur due to direct tumor pressure on the trigeminal nerve or due to a tumor pushing an artery in contact with the trigeminal nerve 2,4,6‐8,13,15 …”

Section: Introductionmentioning

confidence: 99%

“…It is triggered by nonpainful stimuli such as chewing, brushing teeth, washing the face, shaving, speech, or touching the affected dermatome zone 18–20 . Additionally, it may mimic an odontogenic pain 2,4,5 . It is often misdiagnosed, and 33% to 65% of patients undergo unwarranted dental interventions 21 …”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Orofacial pain secondary to acoustic neuroma—A case report

Pontes

Regis

Nunes

et al. 2020

Special Care in Dentistry

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Aim:The present study aimed to report a case of orofacial pain secondary to acoustic neuroma (AN). Methods and Results:A 66-year-old female presented with unilateral facial pain and odontalgia. The pain was described as throbbing, dull, and constant. Tinnitus, hearing loss, dizziness, and others symptoms were also present. Due to the characteristics of the pain and clinical or radiographic findings, other possible diagnoses, such as temporomadibular disorder, tooth-related pain, sinusitis, and primary headaches, were excluded. Somatosensory tests for allodynia and hyperalgesia showed extraoral and intraoral hypersensitivity. Magnetic resonance imaging revealed a lesion located on the right cerebellopontine angle extending into and obliterating the internal auditory canal and compressing the middle cerebral peduncle, the pons, and the cisternal segment of cranial nerve V. The patient was diagnosed with a brainstem tumor compatible with AN and trigeminal neuralgia secondary to cranial nerve V compression. Conclusion:Although uncommon, intracranial tumors should be considered during orofacial pain evaluation to avoid iatrogenic treatment and delayed diagnosis.

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Cancer and Referred Facial Pain

Teruel

2015

Curr Pain Headache Rep

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Orofacial pain may be a symptom of diverse types of cancers as a result of local or distant tumor effects. The pain can be presented with the same characteristics as any other orofacial pain disorder, and this should be recognized by the clinician. Orofacial pain also can arise as a consequence of cancer therapy. In the present article, we review the mechanisms of cancer-associated facial pain, its clinical presentation, and cancer therapy associated with orofacial pain.

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Toothache Caused by Trigeminal Neuralgia Secondary to Vestibular Schwannoma: A Case Report

Cited by 9 publications

References 21 publications

Acoustic Neuroma Mimicking Orofacial Pain: A Unique Case Report

Acoustic Neuroma Mimicking Orofacial Pain: A Unique Case Report

Orofacial pain secondary to acoustic neuroma—A case report

Cancer and Referred Facial Pain

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