Trigeminal Neurotrophic Ulceration

Eldaly, Ahmed; Snyderman, Carl H.

doi:10.1055/s-2008-1058599

Cited by 6 publications

(2 citation statements)

References 14 publications

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“…Patient should be counseled to not pick the area to prevent recurrence as well as secondary infection such as cellulitis or dacrocystitis . Because trigeminal nerve damage persists, ulcer recurrence is possible, so long‐term follow‐up is necessary even if the facial lesion is successfully treated .…”

Section: Guidelines For Follow‐upmentioning

confidence: 99%

“…Patient should be counseled to not pick the area to prevent recurrence as well as secondary infection such as cellulitis or dacrocystitis. 2,45,47 Because trigeminal nerve damage persists, ulcer recurrence is possible, so long-term follow-up is necessary even if the facial lesion is successfully treated. 3 Because of common eye lesions associated with TTS including neurotrophic keratitis, iritis, and corneal ulceration and opacification, periodic ophthalmologic consultations are also of importance.…”

Section: Guidelines For Follow-upmentioning

confidence: 99%

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Trigeminal trophic syndrome: an updated review

2018

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Trigeminal trophic syndrome (TTS) is a rare disease process that is thought to occur after insult to the trigeminal nerve. The earliest descriptions of this condition were provided in the early 20th century, yet it remains relatively unknown, with approximately 200 cases since described. Most commonly seen in older women, TTS characteristically involves persistent facial ulceration with loss of sensation and paresthesia along the distribution of the trigeminal dermatome. Ulceration often occurs in the alar region, following self-manipulation in response to paresthesias. Time of onset of TTS after trigeminal insult may vary from weeks to decades, and emergence of ulceration may be associated with psychiatric disorders. Diagnosis is clinical and made by exclusion of similarly presenting conditions. Histology is nonspecific yet necessary to exclude other causes of facial ulceration. Although there is not yet a standard management strategy, a number of successful approaches have been reported including pharmaceutical and surgical interventions, installation of a protector, and transcutaneous nerve stimulation. However, because of the self-inflicted manifestations of this disorder, behavioral modifications remain of the utmost importance. This review serves to address the history, epidemiology, pathogenesis, clinical presentation, histology, diagnosis, differential diagnosis, and management options for TTS.

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Section: Guidelines For Follow‐upmentioning

confidence: 99%

Section: Guidelines For Follow-upmentioning

confidence: 99%

Trigeminal trophic syndrome: an updated review

2018

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Percutaneous approach to the foramen ovale: an anatomical study of the extracranial trajectory with the incorrect trajectories to be avoided

Alvernia¹,

Sindou²,

Dang³

et al. 2010

Acta Neurochir

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Although widely used, the FO approach carries risks. Special attention is warranted when the needle traverses the upper third of the pyramid to avoid the variant course of the MA. Image-guided techniques and detailed anatomical knowledge are necessary to expand the use of this route not just for approach to lesions within the parasellar and upper third of the petroclival region but also to lesions invading the infratemporal fossa.

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