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Related Experiment Videos

Contralateral trigeminal dysaesthesias associated with second cervical nerve compression: a case report.

W S Rosenberg1, B Swearingen, C E Poletti

  • 1Neurosurgical Service, Massachusetts General Hospital, Boston 02114.

Cephalalgia : an International Journal of Headache
|October 1, 1990
PubMed
Summary

A solitary C2 metastasis caused ipsilateral occipital pain and contralateral trigeminal dysesthesia. Radiation therapy resolved these rare neurological symptoms, suggesting novel neural pathways.

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Area of Science:

  • Neurology
  • Oncology
  • Pain Medicine

Background:

  • Cervical spine lesions can cause referred pain and sensory disturbances.
  • Trigeminal nerve involvement secondary to cervical pathology is uncommon.

Observation:

  • A 70-year-old woman with a C2 metastasis experienced ipsilateral occipital pain and contralateral forehead sensory changes (dysesthesia).
  • Neurological examination confirmed sensory deficits in the C2 dermatome and contralateral trigeminal distribution.
  • Symptoms resolved completely after radiation therapy targeting the C2 lesion.

Findings:

  • This case presents the first description of contralateral cervicogenic trigeminal dysesthesia.
  • The findings suggest that lesions at the C2 or C3 level can influence trigeminal pathways both ipsilaterally and contralaterally.

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  • Resolution of symptoms post-radiation supports a direct causal link between the metastasis and the neurological presentation.

    • Implications:

    • The study expands the understanding of referred pain and sensory disturbances originating from the cervical spine.
    • It highlights the potential for C2/C3 lesions to impact trigeminal nerve function through complex neural circuitry.
    • This case underscores the importance of considering cervical pathology in the differential diagnosis of trigeminal sensory abnormalities.