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Mental paraesthesia: an ominous symptom. Case reports

J F O'Grady1

  • 1Peninsula and Torres Strait Regional Health Authority, Queensland Health.

Australian Dental Journal
|December 1, 1996
PubMed
Summary

Sudden mental nerve paraesthesia can indicate serious underlying conditions like metastatic cancer, not just trauma. Early diagnosis through careful medical history is crucial for proper patient management.

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Area of Science:

  • Neurology
  • Oncology
  • Oral and Maxillofacial Surgery

Background:

  • Mental nerve paraesthesia is often linked to trauma or dental procedures.
  • Unexplained paraesthesia warrants thorough investigation beyond common causes.

Observation:

  • Four cases presented with unexplained mental nerve paraesthesia.
  • These symptoms were later diagnosed as metastatic malignant disease.

Findings:

  • Metastatic cancer can manifest as mental nerve paraesthesia.
  • Absence of typical trauma history increases suspicion for malignancy.

Implications:

  • Clinicians must consider metastatic disease in unexplained mental nerve paraesthesia.
  • Thorough medical history is vital for accurate diagnosis and management.
  • Early detection of malignancy improves patient outcomes.

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