Post-apopletic trigeminal trophic syndrome

Post-apopletic trigeminal trophic syndrome
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DOI:
10.1046/j.1468-3083.2001.00146.x
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发表时间:
2001-03-01
影响因子:
9.2
通讯作者:
Delfino, M
Delfino, M
中科院分区:
医学2区
文献类型:
--
作者:
Ferrara, G;Argenziano, G;Delfino, M

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摘要三叉神经营养症候群是一种少见的临床疾病,其皮肤营养性溃疡的形成是伴随著三叉神经皮节的连续性操作。由于感觉三叉神经纤维或神经核损伤后的麻醉减退、感觉异常和/或疼痛,患者自发地提及在受影响区域进行采摘、摩擦和/或抓挠。我们在此描述一个病人谁开发的综合征的后遗症脑干梗死。本文讨论了刮片细胞学诊断在排除基底细胞癌和其他溃疡性皮肤病中的作用,并强调了神经系统检查在揭示三叉神经皮节偏侧麻木中的重要性。
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.