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/lp/american-medical-association/neurotrophic-changes-in-the-trigeminal-territory-disturbances-after-0ivWxlV9lV
- Publisher
- American Medical Association
- Copyright
- Copyright © 1962 American Medical Association. All Rights Reserved.
- ISSN
- 0003-987X
- eISSN
- 1538-3652
- DOI
- 10.1001/archderm.1962.01590100056013
- Publisher site
- See Article on Publisher Site
Abstract
Abstract The most frequent complications caused by operations for the relief of trigeminal neuralgia are well known. They are herpes simplex, neuropathic keratitis, corneal ulcer and opacity, iritis, conjunctivitis, paresthesias, dryness of the nasal mucous membrane, and facial paralysis.1,2 This discussion concerns itself with 4 patients who developed a rare and poorly recognized sequela, that of neurotrophic changes in the skin with ulceration in the trigeminal area several months to several years following section of the sensory root. Since there is little likelihood of replacing the operative approach to the problem of tic douloureux in the foreseeable future, the occasional occurrence of this syndrome seems assured. Trophic disturbances are changes appearing in tissues that have been deprived of certain qualities of sensation, namely those of pain and temperature and light touch; and they conform sharply to neuroanatomic delineations.3 Report of Cases Case 1.— A woman, aged 68, was first seen References 1. From Dr. Hermann Pinkus' review of sections. 2. Peet, M. M.: The Cranial Nerves , in Practice of Surgery , by Lewis, Dean, Hagerstown, Md., W. F. Prior Co., Inc. 1932, Vol. 11, Chap. 2. 3. Adson, A. W.: Diagnosis and Surgical Treatment of Trigeminal Neuralgia , Ann. Otol. 35:601 ( (Sept.) ) 1926. 4. Karnosh, L. J., and Scherb, R. F.: Trophic Lesions in the Distribution of the Trigeminal Nerve , J.A.M.A. 115:2144, 1940.Crossref 5. Howell, R. G.: Trophic Changes in the Skin After Operation on the Trigeminal Nerve , Brit. J. Derm. 67:444-447 ( (Dec.) ) 1955.Crossref 6. Harris, W.: Analysis of 1,433 Cases of Paroxysmal Trigeminal Neuralgia (Trigeminal-Tic) and End-Results of Gasserian Alcohol Injection , Brain 63:209, 1940.Crossref 7. Leinbrock, A.: Trophic Skin Changes After Surgery of the Trigeminal Nerve , Hautarzt 9:346-350 ( (Aug.) ) 1958. 8. Becker, S. W.: Dermatitis in Association with Disease or Injury of the Peripheral Nerves , Arch. Derm. Syph. 12:235, 1925.Crossref 9. Netherton, E. W.: Persistent Dermatitis , J.A.M.A. 100:722-724, 1933.Crossref 10. Stuhmer, A.: Spatfolgen nach operativen Eingriffen am Trigeminus (Ganglion Gasseri) , Hautarzt 3:5458, 1952. 11. Loveman, A. B.: An Unusual Dermatitis Following Section of the 5th Cranial Nerve , Arch. Derm. Syph. 28:369, 1933.Crossref 12. Greenbaum, S.: Postencephalitic Trophic Ulcer , Arch. Derm. Syph. 30:837 ( (Dec.) ) 1934.Crossref 13. Rosenberg, S. J., and Solovay, J: Trophic Ulcer Following Encephalitis Lethargica , Arch. Derm. Syph. 39:825, 1939.Crossref 14. Tschamper, M.: Ein Fall von trophischem ulcus am häutigen und knorpeligen Septum nasi nach Encephalitis lethargica , Arch. Ohr. Nas. Kehlkopfheilk. 41:244-248, 1937. 15. McKenzie, K. G.: Observations on the Results of the Operative Treatment of Trigeminal Neuralgia , Canad. Med. Ass. J. 29:492-496, 1933. 16. Harman, R. R. M.: Crescentric Defect of the Ala Nasi Following Trigeminal Nerve Section (Case No. 8) , Trans. St. John. Hosp. Derm. 42:86, 1959. 17. Savitsky, N., and Elpern, S. P.: Gangrene of Face Following Occlusion of Posterior Inferior Cerebellar Artery , Arch. Neurol. Psychiat. 60:388-391, 1948.Crossref 18. Dechaume, M., and Deliberos, J.: Ulcération trophique du maxillaire supérieur chez une opérée de neuratomie retrogasserienne totale , Rev. Stomatol. 38:194, 1936. 19. Mixter, W. J., in discussion on Grant, F. C.; Graff, R. A., and Lewy, F. H.: Section of the Descending Root of the Fifth Cranial Nerve , Arch. Neurol. Psychiat. 43:498 ( (March) ) 1940.Crossref 20. Spillane, J. D., and Wells, C. E. C.: Isolated Trigeminal Neuropathy: A Report of 16 Cases , Brain 82:391-416, 1959.Crossref 21. Schorstein, J.: Erosion of the Ala Nasi Following Trigeminal Denervation , J. Neuropsychiat. 6:46-51, 1943. 22. Jaeger, H.: New Type of Neurotrophic Ulcer of the Ala Nasi Following Retrogasserian Neurotomy , Dermatologica (Basel) 100:201, 1950.Crossref 23. Philpott, O. S.: Trophic Ulcer Complicating Operative Procedures for the Relief of Trigeminal Neuralgia , Rocky Mountain Med. J. 38:626-629 ( (Aug.) ) 1941.
Journal
Archives of Dermatology – American Medical Association
Published: Oct 1, 1962
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