Difference between revisions of "CLINICAL-CAUSES OF TRIGEMINAL PALSY"
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<br/>- Pre-ganglionic/central lesion (syringobulbia, stroke, tumor, vascular lesion). | <br/>- Pre-ganglionic/central lesion (syringobulbia, stroke, tumor, vascular lesion). | ||
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<br/>2. Involvement of 1-2 divisions | <br/>2. Involvement of 1-2 divisions: post-ganglionic lesion (shingles, cavernous sinus thrombosis). | ||
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<br/>3. Dissociated loss of pain/temperature alone | <br/>3. Dissociated loss of pain/temperature alone: involvement of medulla by syringobulbia, foramen magnum tumor, PICA territory infarct (lateral medullary syndrome). | ||
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<br/>4. Dissociated loss of touch alone | <br/>4. Dissociated loss of touch alone: involvement of the pons by tumor, infarct. | ||
Latest revision as of 02:29, 21 March 2023
SUMMARY
1. Involvement of all 3 divisions:
- Ganglionic lesion (temporal bone fracture, acoustic neuroma, meningioma, meningitis).
- Pre-ganglionic/central lesion (syringobulbia, stroke, tumor, vascular lesion).
2. Involvement of 1-2 divisions: post-ganglionic lesion (shingles, cavernous sinus thrombosis).
3. Dissociated loss of pain/temperature alone: involvement of medulla by syringobulbia, foramen magnum tumor, PICA territory infarct (lateral medullary syndrome).
4. Dissociated loss of touch alone: involvement of the pons by tumor, infarct.
Reference(s)
Wilkinson, I., Furmedge, D. and Sinharay, R. (2017). Oxford handbook of clinical medicine. Oxford: Oxford University Press. Get it on Amazon.
Feather, A., Randall, D. and Waterhouse, M. (2020). Kumar And Clark’s Clinical Medicine. 10th ed. S.L.: Elsevier Health Sciences. Get it on Amazon.
Hannaman, R. A., Bullock, L., Hatchell, C. A., & Yoffe, M. (2016). Internal medicine review core curriculum, 2017-2018. CO Springs, CO: MedStudy.
Therapeutic Guidelines. Melbourne: Therapeutic Guidelines Limited. https://www.tg.org.au [Accessed 2021].
