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[Bilateral isolated trigeminal neuropathy (author's transl)].

P Castaigne, D Laplane, P Bouche

Revue Neurologique

|August 1, 1978

Summary

Isolated trigeminal neuropathy, a rare nerve disorder, can present bilaterally with sensory loss and nerve conduction slowing. This case highlights an idiopathic bilateral form, emphasizing the need for further etiological research.

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Area of Science:

Neurology
Neuroscience

Background:

Isolated trigeminal neuropathy (ITN) is characterized by trigeminal nerve deficits without local lesions.
It can be unilateral or bilateral, sometimes associated with systemic conditions like connective tissue diseases.

Observation:

This report details a rare bilateral ITN case presenting with ageusia (loss of taste) and anosmia (loss of smell).
The patient also exhibited cubital nerve deficit and slowed nerve conduction velocities in the limbs.

Findings:

The bilateral ITN was accompanied by significant sensory deficits (ageusia, anosmia) and motor nerve involvement.
Despite thorough investigation, no underlying cause (aetiology) was identified for this idiopathic presentation.

Implications:

This case underscores the diverse clinical manifestations of bilateral ITN.
The idiopathic nature of this presentation suggests potential novel pathophysiological mechanisms requiring further investigation.

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