Progressive hemi facial atrophy - Parry Romberg syndrome presenting as severe facial pain in a young man: a case reportReportar como inadecuado




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Cases Journal

, 2:6776

First Online: 02 July 2009Received: 22 March 2009Accepted: 25 May 2009DOI: 10.4076-1757-1626-2-6776

Cite this article as: Kumar, A.A., Kumar, R.A., Shantha, G.P.S. et al. Cases Journal 2009 2: 6776. doi:10.4076-1757-1626-2-6776

Abstract

We present a 30-year-old South Indian man who presented with complaints of left sided headache and facial pain for past 3 months, severe for past 10 days. On physical examination, right side of the face appeared normal. Left side of the face showed signs of hemi atrophy with minimal drooping of left eyelid. All Systems were found to be normal. Routine blood and urine investigations results were within normal limits. X-ray chest revealed no abnormalities and x-ray skull showed both sides equal. Computerized tomogram of the brain showed left minimal sub dural hygroma with no midline shift, and no evidence of cerebral edema or cerebral atrophy. Nerve conduction study showed features suggestive of trigeminal neuralgia. MRI of the skull base was also normal and showed no evidence of trigeminal nerve compression. Interestingly, he had minimal response to analgesics, steroids, and propranolol, but showed immediate response to carbamazepine. Hence this patient indeed had Parry Romberg syndrome: Hemi facial atrophy with trigeminal neuralgia.

AbbreviationsBMIBody mass index

CNScentral nervous system

CTComputerized tomogram

ENTEar, nose, throat

LOCLoss of consciousness

PHAprogressive hemi facial atrophy

USG abdultrasound abdomen.

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Autor: Anita A Kumar - Rajesh A Kumar - Ghanshyam Palamaner Subash Shantha - Ghanshyam Aloogopinathan

Fuente: https://link.springer.com/







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