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Trigeminal trophic syndrome treated with thermoplastic occlusion
Author(s) -
Kurien Anil M,
Damian Diona L,
Moloney Fergal J
Publication year - 2011
Publication title -
australasian journal of dermatology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.67
H-Index - 53
eISSN - 1440-0960
pISSN - 0004-8380
DOI - 10.1111/j.1440-0960.2009.00613.x
Subject(s) - medicine , occlusion , surgery , anesthesia , carbamazepine , dermatology , epilepsy , psychiatry
A 72‐year‐old man with a history of thrombotic CVA causing lateral medullary infarction presented with non‐healing ulcers of the right side of the face of 5 months' duration. After extensive investigations, a diagnosis of trigeminal trophic syndrome was made. The ulcers progressed relentlessly despite amitriptyline and gabapentin, and he was treated with a combination of carbamazepine and thermoplastic mask occlusion of the right side of his face. Over the next 10 weeks the shallower facial ulcers began to diminish in depth and diameter, and the deeper ulcers stopped progressing. Although the patient showed early signs of healing, he died because of complications from the CVA.