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[Romberg's facial hemiatrophy: a case report]

N De Figueiredo Neto1, J W Martins, M Farage Filho

  • 1Médico Residente da Unidade de Neurocirurgia, Hospital de Base do Distrito Federal.

Arquivos De Neuro-Psiquiatria
|December 1, 1995
PubMed
Summary

This case study details a 45-year-old female with progressive facial hemiatrophy. Electroneuromyography revealed neurogenic alterations in cranial nerves, supporting the diagnosis of Romberg's facial hemiatrophy.

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Area of Science:

  • Neurology
  • Dermatology
  • Medical Case Reports

Background:

  • Romberg's facial hemiatrophy is a rare, progressive condition affecting facial tissues.
  • This condition can lead to significant asymmetry and functional impairment.

Observation:

  • A 45-year-old female presented with progressive hemiatrophy of the left face and tongue.
  • Initial laboratory and imaging studies, including MRI and CT scans, were unremarkable.

Findings:

  • Electroneuromyography demonstrated peripheral neurogenic alterations in the motor trigeminal and hypoglossal nerves, predominantly on the left side.
  • These electrodiagnostic findings are crucial for diagnosing this rare condition.

Implications:

  • The case highlights the importance of electroneuromyography in diagnosing Romberg's facial hemiatrophy when other tests are normal.

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  • Further discussion on the etiology and management of this rare neurological disorder is warranted.