Unilateral hypoplasia of the trigeminal ganglion.
METHODS
We report a case of unilateral anaesthesia of the V1 (ophthalmic) division of the trigeminal cranial nerve presenting with persistent corneal erosions and ulceration secondary to trigeminal ganglion hypoplasia. The patient had a lifelong history of unexplained left-sided ophthalmic symptoms for which numerous diagnoses were provided. Cranial nerve testing demonstrated partial trigeminal dysfunction on the left side. Further investigation eliminated viral etiologies, and subsequent magnetic resonance imaging determined that the patient had a hypo-plastic left trigeminal ganglion.


CONCLUSIONS
We present the case to alert clinicians to the possibility of this rare condition.
Milne
Andrew D
AD
Department of Anesthesia, Dalhousie University, Halifax, NS.
Chui
Lica
L
Mishra
Aditya V
AV
Maxner
Charles E
CE
D000328:Adult; D003320:Corneal Ulcer / Q000209:etiology*; D003389:Cranial Nerve Diseases / Q000209:etiology*; D005260:Female; D006801:Humans; D006987:Hypesthesia / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D009882:Ophthalmic Nerve / Q000002:abnormalities* / Q000473:pathology; D012668:Trigeminal Ganglion / Q000002:abnormalities* / Q000473:pathology