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Diabetic polyradiculopathy with trigeminal nerve involvement. A case report.
P S Casamassimo1, J E Tucker-Lammertse
1Department of Growth and Development, School of Dentistry, University of Colorado Health Sciences Center.
Oral Surgery, Oral Medicine, and Oral Pathology
|September 1, 1988
Summary
Diabetic polyradiculopathy rarely affects cranial nerves. This case highlights trigeminal nerve involvement presenting as oral pain, a previously unreported symptom in this condition.
Area of Science:
- Neurology
- Endocrinology
- Diabetic Complications
Background:
- Diabetic polyradiculopathy is a serious complication of diabetes mellitus.
- Cranial nerve involvement is an uncommon manifestation of diabetic polyradiculopathy.
Observation:
- A 20-year-old woman with an 8-year history of controlled diabetes mellitus presented with oral pain.
- The pain suggested involvement of the mandibular branch of the trigeminal nerve and mimicked trigeminal neuralgia.
Findings:
- This case represents the first reported instance of trigeminal nerve involvement causing pain in diabetic polyradiculopathy.
- The patient's oral pain was attributed to cranial nerve involvement secondary to diabetic polyradiculopathy.
Implications:
- This finding expands the known spectrum of diabetic polyradiculopathy manifestations.
- Clinicians should consider diabetic polyradiculopathy in patients with unexplained trigeminal nerve pain, particularly those with diabetes mellitus.