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Burning oral and mid‐facial pain in ventral pontine infarction
Author(s) -
Reutens D. C.
Publication year - 1990
Publication title -
australian and new zealand journal of medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.596
H-Index - 70
eISSN - 1445-5994
pISSN - 0004-8291
DOI - 10.1111/j.1445-5994.1990.tb01030.x
Subject(s) - medicine , facial pain , infarction , surgery , myocardial infarction
The symptom of burning orofacial pain may help to identify the site of ischaemia in otherwise pure motor strokes resulting from infarction of the ventral pons. A patient with hemiplegia due to ventral pontine infarction, in whom burning oral and mid‐facial pain was a prominent initial symptom, is described. Similar pain preceded transient episodes of the ‘locked‐in’ state. Awareness of this herald symptom may permit early recognition and careful monitoring of patients at risk of progressing to the ‘locked‐in’ state.