A case of vestibular schwannoma with oral burning sensation: surgical complication or burning mouth syndrome?
A case of vestibular schwannoma with oral burning sensation: surgical complication or burning mouth syndrome?
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DOI：
10.1186/s13030-021-00215-0
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发表时间：
2021-08-23
影响因子：
2.1
通讯作者：
Toyofuku A
中科院分区：
文献类型：
--
作者：
Suga T;Tu TTH;Sakamoto J;Toyofuku A
尽管手术技术有所改进，前庭神经鞘瘤的切除仍与一些并发症有关。从前庭神经鞘瘤的手术并发症中恢复通常很困难，并且并发症有时会导致永久性缺陷。然而，在非典型病例中，可能会错过可治疗的三叉神经症状。一位 46 岁的女性在第一次来我们诊所之前四年来一直抱怨舌头和上颌有烧灼感。由于面部疼痛和舌头烧灼感突然加剧，她到大学医院的神经外科就诊。她被诊断患有前庭神经鞘瘤并进行了肿瘤切除术。然而，手术后她的口腔疼痛仍然存在。在第一次来我们诊所就诊前两个月，口腔疼痛变得比以前更加严重。当患者因惊恐发作去看精神科医生时，精神科医生诊断她患有躯体症状障碍和抑郁症，并将她转介到我们诊所。根据疼痛的特点，诊断为灼口综合征并进行治疗。 1.5个月内，小剂量阿米替林的舌头和上颌疼痛和烧灼感几乎完全缓解。我们的病例表明，在某些特殊情况下，灼口综合征和前庭神经鞘瘤同时发生。前庭神经鞘瘤手术后的灼痛不能总是被视为手术并发症。
Despite improvements in surgical techniques, the removal of vestibular schwannoma is related to some complications. Recovery from surgical complications of vestibular schwannoma is often difficult and complications sometimes lead to permanent deficits. However, treatable trigeminal symptoms may be missed in atypical cases. A 46-year-old woman complained about burning sensation on her tongue and maxilla for four years before her first visit to our clinic. She visited the neurosurgery department in a university hospital because her facial pain and burning sensation of her tongue were suddenly aggravated. She was diagnosed with vestibular schwannoma and tumour resection was performed. However, her oral pain persisted after surgery. Two months before the initial visit to our clinic, the oral pain became more severe than ever before. When the patient visited a psychiatrist due to a panic attack, the psychiatrist diagnosed her as having somatic symptom disorder and depression and referred her to our clinic. Based on the characteristics of the pain, she was diagnosed as burning mouth syndrome and treated for the same. Within 1.5 months, the pain and burning sensation of the tongue and maxilla almost completely remitted with low dose amitriptyline. Our case suggests that there are exceptional cases in which burning mouth syndrome and vestibular schwannoma occur simultaneously. Burning pain after vestibular schwannoma surgery cannot always be considered a complication of surgery.
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