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Inflammatory trigeminal nerve and tract lesions associated with inferior alveolar nerve anaesthesia
N F Blair1, J D E Parratt, R Garsia
1Department of Neurology, Royal North Shore Hospital, Pacific Highway, St Leonards, 2065, New South Wales, Australia.
Abstract:
Inferior alveolar nerve blocks are commonly performed for dental anaesthesia. The procedure is generally safe with a low rate of complications. We report a patient with a reproducible, delayed-onset sensory deficit associated with contrast-enhancing lesions in the trigeminal nerve, pons and medulla following inferior alveolar nerve local anaesthesia. We propose that this previously undescribed condition is a form of Type IV hypersensitivity reaction.
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