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Case Reports
. 2013 Oct 21:2013:bcr2013201002.
doi: 10.1136/bcr-2013-201002.

Nerve afflictions of maxillofacial region: a report of two cases

Affiliations
Case Reports

Nerve afflictions of maxillofacial region: a report of two cases

Smitha Rani Thada et al. BMJ Case Rep. .

Abstract

Neurological disorders and conditions affecting the maxillofacial region result in disabilities that affect an individual's functioning. Sensory or motor disturbances of the nerves may be caused by trauma, infections, pressure effect or infiltration by tumours or other health conditions. Two rare cases of nerve afflictions are described here with their typical clinical features. The first case had an involvement of maxillary, mandibular and ophthalmic divisions of the trigeminal nerve (sensory) due to herpes zoster infection in a very young patient and the second case had a unilateral isolated hypoglossal nerve palsy (motor) secondary to infiltration of the nerve by carcinoma of pyriform fossa.

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Figures

Figure 1
Figure 1
Herpes zoster infection involving opthalmic and maxillary division of trigeminal nerve. With crusted lesions on the malar region of the face on the right side, involving the tip of the nose, right upper lip and the swollen right eyes.
Figure 2
Figure 2
Multiple irregular shallow ulcerations over right side of upper labial mucosa and hard palate which stopped abruptly at midline.
Figure 3
Figure 3
Carcinoma of left pyriform fossa with swelling on the left side of the neck.
Figure 4
Figure 4
Hypoglossal nerve palsy demonstrated clearly on protrusion of his tongue, it deviated to left side with atrophy of tongue seen on left side.

References

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