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Trigeminal trophic syndrome.

R Arasi1, M McKay, W J Grist

  • 1Department of Dermatology, Emory University School of Medicine, Atlanta, GA.

The Laryngoscope
|December 1, 1988
PubMed
Summary
This summary is machine-generated.

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Trigeminal trophic syndrome (TTS) causes facial ulceration due to trigeminal nerve damage. Early physician recognition is crucial for diagnosing this rare condition, distinguishing it from other causes of nasal ulceration.

Area of Science:

  • Neurology
  • Dermatology

Background:

  • Trigeminal trophic syndrome (TTS), also known as trigeminal neurotrophic ulceration, is a rare condition.
  • It presents as facial ulceration, particularly on the ala nasi, within a trigeminal nerve dermatome affected by anesthesia.

Observation:

  • Diagnosis is supported by a history of paresthesias and self-inflicted trauma to the anesthetic facial area.
  • Neurological deficits leading to TTS can stem from trigeminal nerve ablation, brainstem vascular issues, acoustic neuroma, postencephalitic parkinsonism, or syringobulbia.

Findings:

  • Differential diagnosis requires excluding numerous infectious, inflammatory, and neoplastic causes of nasal ulceration.
  • The case highlights that prior experience with TTS is often key to its diagnosis.

Implications:

Related Experiment Videos

  • Emphasizes the importance of physician awareness for timely diagnosis of trigeminal trophic syndrome.
  • Accurate diagnosis is essential to differentiate TTS from other facial ulcerating conditions.