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Physical Medicine and Rehabilitation (84)
Author(s) -
Kang YoonKyoo,
Lee EunHa,
Hwang Miriam
Publication year - 2001
Publication title -
pain practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.899
H-Index - 58
eISSN - 1533-2500
pISSN - 1530-7085
DOI - 10.1111/j.1533-2500.2001.1011-84.x
Subject(s) - medicine , trigeminal nerve , neurological examination , weakness , cranial nerves , neurology , physical examination , physical medicine and rehabilitation , surgery , psychiatry
Pure trigeminal motor neuropathy: a case report. (Korea University Medical Center, Guro‐gu, Korea) Arch Phys Med Rehabil 2000;81:995–998. A 38‐year‐old man complaining of progressive weakness and wasting of the right masticatory muscles after a bout of mild cold symptoms is presented in this case report. No sensory symptoms were present. History, neurologic examination, electrophysiologic studies, and magnetic resonance imaging of the brain led to the diagnosis of pure trigeminal motor neuropathy. The cause may have been an autoimmune reaction to a viral infection. Comment by Miles Day, MD. This article is a case report of pure trigeminal motor neuropathy. Trigeminal motor neuropathy is defined as a trigeminal motor paralysis accompanied by no trigeminal sensory signs or other cranial nerve involvement. The author described the history of the patient and their work up including examination, laboratory tests, and electro diagnostic examinations, which all pointed to the pure trigeminal motor neuropathy. The strength of this case report is the detailed description of the anatomy of the trigeminal nerve and the muscular innervations of the mandubular branch. The authors attributed the motor neuropathy to a possible post viral infection autoimmune response that predominantly affected the motor division of the trigeminal nerve. They have stressed that all other potential causes of motor neuropathy should be ruled out including malignancy in mass lesions.