Contralateral trigeminal dysaesthesias associated with second cervical nerve compression: a case report.
This 70-year-old woman presented with a left C2 solitary metastatic lesion producing ipsilateral occipital pain associated with contralateral fronto-orbital dysaesthesias. Examination revealed analgesia in the left C2 dermatome and hyperaesthesia in the right forehead. These symptoms and findings resolved following a course of radiation therapy to the C2 metastasis. Ipsilateral trigeminal dysaesthesias produced by cervical lesions have been described, however, contralateral cervicogenic trigeminal dysaesthesias have not. Relevant experimental data are analysed; neural pathways are suggested by which a cervical lesion, especially at C2 or C3, may produce trigeminal dysaesthesias referred ipsilaterally or contralaterally.
Rosenberg
W S
WS
Neurosurgical Service, Massachusetts General Hospital, Boston 02114.
Swearingen
B
B
Poletti
C E
CE
D000368:Aged; D003389:Cranial Nerve Diseases / Q000000981:diagnostic imaging / Q000209:etiology; D005260:Female; D006801:Humans; D009408:Nerve Compression Syndromes / Q000150:complications* / Q000000981:diagnostic imaging; D013125:Spinal Neoplasms / Q000150:complications* / Q000000981:diagnostic imaging; D013127:Spinal Nerves / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed; D014276:Trigeminal Nerve