Facial pain and trigeminal neuralgia secondary to metastasis A case report

Davis C. Thomas; Steven R. Singer; Priyanka Kodaganallur Pitchumani; Giannina R. Katzmann; Divya Kohli

doi:10.1016/J.ADAJ.2021.06.011

Facial pain and trigeminal neuralgia secondary to metastasis A case report

Davis C. Thomas
, Steven R. Singer
, Priyanka Kodaganallur Pitchumani
, Giannina R. Katzmann
, Divya Kohli

Research output: Contribution to journal › Article › peer-review

Abstract

Background and Overview
Trigeminal neuralgia due to a metastatic lesion is a relatively rare occurrence. These cases pose a diagnostic challenge for the clinician due to a complex clinical presentation.
Case Description
The authors describe the case of a 65-year-old woman with left-sided facial pain and occasional numbness. The patient also reported autonomic features associated with facial pain, facial muscular weakness, and hearing and visual impairment. The patient's history of breast cancer, for which she was receiving treatment for bone metastasis, warranted diagnostic imaging. Magnetic resonance imaging with and without contrast was performed and revealed a possible metastatic lesion.
Conclusions and Practical Implications
Unusual clinical features must be identified, and prompt appropriate imaging is instrumental in making at an accurate diagnosis and management plan.

Original language	English
Article number	484-488
Journal	The Journal of the American Dental Association
Volume	153
Issue number	5
DOIs	https://doi.org/10.1016/J.ADAJ.2021.06.011
State	Published - 2022
Externally published	Yes

Keywords

Cancer
imaging
neuropathic pain
secondary neuralgia
space occupying lesion
symptomatic trigeminal neuralgia

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10.1016/J.ADAJ.2021.06.011

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title = "Facial pain and trigeminal neuralgia secondary to metastasis A case report",

abstract = "Background and Overview Trigeminal neuralgia due to a metastatic lesion is a relatively rare occurrence. These cases pose a diagnostic challenge for the clinician due to a complex clinical presentation. Case Description The authors describe the case of a 65-year-old woman with left-sided facial pain and occasional numbness. The patient also reported autonomic features associated with facial pain, facial muscular weakness, and hearing and visual impairment. The patient's history of breast cancer, for which she was receiving treatment for bone metastasis, warranted diagnostic imaging. Magnetic resonance imaging with and without contrast was performed and revealed a possible metastatic lesion. Conclusions and Practical Implications Unusual clinical features must be identified, and prompt appropriate imaging is instrumental in making at an accurate diagnosis and management plan.",

keywords = "Cancer, imaging, neuropathic pain, secondary neuralgia, space occupying lesion, symptomatic trigeminal neuralgia",

author = "Thomas, \{Davis C.\} and Singer, \{Steven R.\} and Pitchumani, \{Priyanka Kodaganallur\} and Katzmann, \{Giannina R.\} and Divya Kohli",

year = "2022",

doi = "10.1016/J.ADAJ.2021.06.011",

language = "English",

volume = "153",

journal = "The Journal of the American Dental Association",

issn = "0002-8177",

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TY - JOUR

T1 - Facial pain and trigeminal neuralgia secondary to metastasis A case report

AU - Thomas, Davis C.

AU - Singer, Steven R.

AU - Pitchumani, Priyanka Kodaganallur

AU - Katzmann, Giannina R.

AU - Kohli, Divya

PY - 2022

Y1 - 2022

N2 - Background and Overview Trigeminal neuralgia due to a metastatic lesion is a relatively rare occurrence. These cases pose a diagnostic challenge for the clinician due to a complex clinical presentation. Case Description The authors describe the case of a 65-year-old woman with left-sided facial pain and occasional numbness. The patient also reported autonomic features associated with facial pain, facial muscular weakness, and hearing and visual impairment. The patient's history of breast cancer, for which she was receiving treatment for bone metastasis, warranted diagnostic imaging. Magnetic resonance imaging with and without contrast was performed and revealed a possible metastatic lesion. Conclusions and Practical Implications Unusual clinical features must be identified, and prompt appropriate imaging is instrumental in making at an accurate diagnosis and management plan.

AB - Background and Overview Trigeminal neuralgia due to a metastatic lesion is a relatively rare occurrence. These cases pose a diagnostic challenge for the clinician due to a complex clinical presentation. Case Description The authors describe the case of a 65-year-old woman with left-sided facial pain and occasional numbness. The patient also reported autonomic features associated with facial pain, facial muscular weakness, and hearing and visual impairment. The patient's history of breast cancer, for which she was receiving treatment for bone metastasis, warranted diagnostic imaging. Magnetic resonance imaging with and without contrast was performed and revealed a possible metastatic lesion. Conclusions and Practical Implications Unusual clinical features must be identified, and prompt appropriate imaging is instrumental in making at an accurate diagnosis and management plan.

KW - Cancer

KW - imaging

KW - neuropathic pain

KW - secondary neuralgia

KW - space occupying lesion

KW - symptomatic trigeminal neuralgia

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DO - 10.1016/J.ADAJ.2021.06.011

M3 - Article

SN - 0002-8177

VL - 153

JO - The Journal of the American Dental Association

JF - The Journal of the American Dental Association

IS - 5

M1 - 484-488

ER -

Facial pain and trigeminal neuralgia secondary to metastasis A case report

Abstract

Keywords

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