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Burning oral and mid-facial pain in ventral pontine infarction
1Department of Neurology, Royal Perth Hospital, Australia.
Abstract:
The symptom of burning orofacial pain may help to identify the site of ischaemia in otherwise pure motor strokes resulting from infarction of the ventral pons. A patient with hemiplegia due to ventral pontine infarction, in whom burning oral and mid-facial pain was a prominent initial symptom, is described. Similar pain preceded transient episodes of the 'locked-in' state. Awareness of this herald symptom may permit early recognition and careful monitoring of patients at risk of progressing to the 'locked-in' state.
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