Post-apopletic trigeminal trophic syndrome |
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Authors: | G Ferrara,&dagger ,G Argenziano,&Dagger ,G Cicarelli,§ ,F Cusano,¶ ,M Delfino&Dagger |
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Affiliation: | Pathologic Anatomy Service, Gaetano Rummo General Hospital, Benevento, Italy. |
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Abstract: | Trigeminal trophic syndrome is an uncommon clinical entity in which cutaneous trophic ulceration develops with continuous manipulation of trigeminal dermatomes. Patients spontaneously refer picking, rubbing and/or scratching at the affected areas because of hypo-anaesthesia, paraesthesia and/or pain following damage of the sensory trigeminal fibres or nuclei. We herein describe a patient who developed the syndrome as a sequela of brain stem infarction. Diagnosis by scrape cytology in ruling-out basal cell carcinoma and other ulcerative skin diseases is discussed and the importance of neurological examination in disclosing hemi-anaesthesia of trigeminal dermatome(s) is emphasized. |
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Keywords: | trigeminal trophic syndrome brain infarction hypo-anaesthesia paraesthesia cutaneous cytohistopathology |
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