Post-apopletic trigeminal trophic syndrome.
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.
Ferrara
G
G
Pathologic Anatomy Service, Gaetano Rummo General Hospital, Benevento, Italy.
Argenziano
G
G
Cicarelli
G
G
Cusano
F
F
Delfino
M
M
D001706:Biopsy; D003937:Diagnosis, Differential; D005148:Facial Dermatoses / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010292:Paresthesia / Q000209:etiology*; D012720:Severity of Illness Index; D012878:Skin Neoplasms / Q000473:pathology; D012883:Skin Ulcer / Q000209:etiology* / Q000473:pathology / Q000628:therapy; D020521:Stroke / Q000150:complications* / Q000175:diagnosis; D013577:Syndrome; D014277:Trigeminal Neuralgia / Q000209:etiology*