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Foreign body induced neuralgia: a diagnostic challenge
S Padmashree1, Chaitra H Ramprakash, Rema Jayalekshmy
1Department of Oral Medicine & Radiology, Vydehi Institute of Dental Sciences and Research Centre, No. 82, EPIP Area, Whitefield, Bangalore 560 066, India.
Case Reports in Dentistry
|July 3, 2013
Summary
Iatrogenic trauma can cause neuropathic pain. Removing a foreign body from the mental foramen resolved a patient's peripheral neuropathic pain, emphasizing radiographic evaluation.
Area of Science:
- Neurology
- Oral Surgery
- Pain Management
Background:
- Neuropathic pain arises from neural injury, affecting the peripheral or central nervous system.
- Iatrogenic trauma is a recognized cause of neuropathic pain.
- Foreign bodies in the mental foramen can lead to persistent pain.
Purpose of the Study:
- To highlight a case of peripheral neuropathic pain caused by an iatrogenic foreign body.
- To emphasize the diagnostic and therapeutic importance of radiographic evaluation.
- To underscore the role of iatrogenic mechanical causes in neuropathic pain.
Main Methods:
- Case report detailing a patient with peripheral neuropathic pain.
- Identification of a foreign body in the mental foramen via radiographic evaluation.
- Surgical intervention for foreign body removal.
Main Results:
- A foreign body was detected in the mental foramen.
- Surgical removal of the foreign body led to complete resolution of neuropathic pain.
- Routine radiographic evaluation proved crucial for diagnosis and treatment planning.
Conclusions:
- Iatrogenic foreign bodies can cause significant peripheral neuropathic pain.
- Prompt radiographic assessment is vital for diagnosing and managing such cases.
- Oral clinicians must exercise caution to prevent iatrogenic mechanical nerve injury.
