Clinical Case Database / Category: Patient Management

Trigeminal neuropathy

Publication details

Geoff A Chiu, Suresh Shetty, Andrew J Baldwin
Foundation Years Journal, volume 5, issue 4, p.32 (123Doc Education, London, May 2011)


We present a case where a patient presented with a trigeminal neuropathy (numbness to the lower right lip and tongue). Initially, the intracranial course was investigated only. The patient returned 14 months later with further symptoms. The extracranial course was then investigated and a lesion was found invading the nerve, by which time the patient had developed multiple metastasis to the lungs and brain. We discuss the course of the cranial nerve and the most common abnormalities leading to a trigeminal neuropathy. When patients present with a cranial nerve neuropathy it is essential to investigate both the intra cranial and extracranial courses of the cranial nerves.

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Geoff A Chiu

Specialty Registrar, Oral and Maxillofacial Surgery
North Manchester General Hospital
Delaunays Road, Crumpsall, Manchester M8 5RB.

Suresh Shetty

Suresh Shetty
Consultant, Oral and Maxillofacial Surgery
Department of Oral and Maxillofacial Surgery
North Manchester General Hospital
Delaunays Road, Crumpsall, Manchester M8 5RB

Andrew J Baldwin

Consultant, Oral and Maxillofacial Surgery
Department of Oral and Maxillofacial Surgery,
North Manchester General Hospital, Delaunays Road,
Crumpsall, Manchester M8 5RB


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