Cerebellopontine Angle Tumor Mimicking Lingual Nerve Injury after Dental Implant Placement: A Case Report.
Cerebellopontine Angle Tumor Mimicking Lingual Nerve Injury after Dental Implant Placement: A Case Report.
复制标题
牙种植体植入后模拟舌神经损伤的小脑桥脑角肿瘤：病例报告。
作者：
Momota Y;Kani K;Takano H;Azuma M.
这是一个罕见的病例报告，小脑桥脑角（CPA）质量模仿舌神经损伤后，牙种植体的位置。舌神经损伤是牙种植术后常见的并发症。CPA肿块可能引起症状性三叉神经痛，因此可以模仿口腔疾病并容易与口腔疾病混淆。我们经历了一个病例的CPA质量模仿舌神经损伤后，牙种植体植入。患者是一名57岁的日本女性，主诉舌痛。她在来我们诊所之前接受了下颌骨种植体植入。全景X线摄影显示无异常;牙龈试验的唾液流速为7.0 ml/10 min。诊断为舌神经损伤和继发性灼口综合征。维生素B12和口腔保湿剂没有提供缓解;此外，出现下唇麻木。Semmes Weinstein测试表明她的敏感阈值升高。最后，磁共振成像显示CPA中有一个直径20 mm的肿块。患者目前正在接受保守治疗。我们的经验强调，包括CPA质量在牙科疾病的鉴别诊断的重要性。
This is a rare case report of a cerebellopontine angle (CPA) mass mimicking lingual nerve injury after a dental implant placement. Lingual nerve injury is a common complication following dental implant placement. CPA masses are likely to cause symptomatic trigeminal neuralgia, and thus can mimic and be easily confused with oral diseases. We experienced a case of CPA mass mimicking lingual nerve injury after dental implant placement. The patient was a 57‐year‐old Japanese female who complained of glossalgia. She underwent dental implant placement in the mandible before visiting our clinic. Panoramic x‐ray radiography revealed no abnormalities; the salivary flow rate by gum test was 7.0 ml/10 min. She was diagnosed with lingual nerve injury and secondary burning mouth syndrome. Vitamin B12 and oral moisturizer did not provide relief; furthermore, numbness in the lower lip emerged. A Semmes Weinstein test demonstrated elevation of her sensitivity threshold. Finally, magnetic resonance imaging revealed a 20‐mm diameter mass in the CPA. The patient is now being followed under conservative management. Our experience underscores the importance of including CPA mass in the differential diagnosis of dental diseases.