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Maxillary nerve involvement in bacterial endocarditis.

A P Barrett, M W Smith

    Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons
    |October 1, 1985
    PubMed
    Summary
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    Bacterial endocarditis can rarely cause trigeminal nerve issues like maxillary nerve paresthesia due to embolic events. This study highlights infective endocarditis as a potential cause for unexplained facial nerve lesions.

    Area of Science:

    • Neurology
    • Cardiology
    • Infectious Diseases

    Background:

    • Bacterial endocarditis is a serious infection affecting heart valves.
    • Trigeminal nerve branch lesions can present with various neurological symptoms.
    • Embolic events are known complications of infective endocarditis.

    Observation:

    • A patient presented with right maxillary nerve paresthesia.
    • The paresthesia occurred during an active phase of bacterial endocarditis.

    Findings:

    • The maxillary nerve paresthesia was likely caused by embolic occlusion of its vascular supply.
    • This case suggests a potential link between bacterial endocarditis and trigeminal nerve branch lesions.

    Implications:

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  • Infective endocarditis should be considered in the differential diagnosis of unexplained trigeminal nerve lesions.
  • Further investigation for such lesions is recommended in patients with established endocarditis.