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Orofacial pain secondary to acoustic neuroma-A case report.
Spec Care Dentist. 2020 May; 40(3):303-307.SC

Abstract

AIM

The present study aimed to report a case of orofacial pain secondary to acoustic neuroma (AN).

METHODS AND RESULTS

A 66-year-old female presented with unilateral facial pain and odontalgia. The pain was described as throbbing, dull, and constant. Tinnitus, hearing loss, dizziness, and others symptoms were also present. Due to the characteristics of the pain and clinical or radiographic findings, other possible diagnoses, such as temporomadibular disorder, tooth-related pain, sinusitis, and primary headaches, were excluded. Somatosensory tests for allodynia and hyperalgesia showed extraoral and intraoral hypersensitivity. Magnetic resonance imaging revealed a lesion located on the right cerebellopontine angle extending into and obliterating the internal auditory canal and compressing the middle cerebral peduncle, the pons, and the cisternal segment of cranial nerve V. The patient was diagnosed with a brainstem tumor compatible with AN and trigeminal neuralgia secondary to cranial nerve V compression.

CONCLUSION

Although uncommon, intracranial tumors should be considered during orofacial pain evaluation to avoid iatrogenic treatment and delayed diagnosis.

Authors+Show Affiliations

Federal University of Ceará, Fortaleza, Ceará, Brazil.Department of Restorative Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil.Department of Restorative Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil.Federal University of Ceará, Fortaleza, Ceará, Brazil.Department of Clinical Odontology, Federal University of Ceará, Fortaleza, Ceará, Brazil.Department of Restorative Dentistry, Federal University of Ceará, Fortaleza, Ceará, Brazil.

Pub Type(s)

Case Reports

Language

eng

PubMed ID

32384226

Citation

Oliveira, Juliana Araújo, et al. "Orofacial Pain Secondary to Acoustic neuroma-A Case Report." Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry, vol. 40, no. 3, 2020, pp. 303-307.
Oliveira JA, de Freitas Pontes KM, Regis RR, et al. Orofacial pain secondary to acoustic neuroma-A case report. Spec Care Dentist. 2020;40(3):303-307.
Oliveira, J. A., de Freitas Pontes, K. M., Regis, R. R., Nunes, T. N. B., Pinto, S. A. H., & Pinto Fiamengui, L. M. S. (2020). Orofacial pain secondary to acoustic neuroma-A case report. Special Care in Dentistry : Official Publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry, 40(3), 303-307. https://doi.org/10.1111/scd.12461
Oliveira JA, et al. Orofacial Pain Secondary to Acoustic neuroma-A Case Report. Spec Care Dentist. 2020;40(3):303-307. PubMed PMID: 32384226.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Orofacial pain secondary to acoustic neuroma-A case report. AU - Oliveira,Juliana Araújo, AU - de Freitas Pontes,Karina Matthes, AU - Regis,Romulo Rocha, AU - Nunes,Tereza Nicolle Burgos, AU - Pinto,Sérgio Araújo Holanda, AU - Pinto Fiamengui,Lívia Maria Sales, Y1 - 2020/05/08/ PY - 2019/09/02/received PY - 2019/12/17/revised PY - 2020/03/20/accepted PY - 2020/5/10/pubmed PY - 2020/6/2/medline PY - 2020/5/9/entrez KW - acoustic neuroma KW - orofacial pain KW - trigeminal neuralgia SP - 303 EP - 307 JF - Special care in dentistry : official publication of the American Association of Hospital Dentists, the Academy of Dentistry for the Handicapped, and the American Society for Geriatric Dentistry JO - Spec Care Dentist VL - 40 IS - 3 N2 - AIM: The present study aimed to report a case of orofacial pain secondary to acoustic neuroma (AN). METHODS AND RESULTS: A 66-year-old female presented with unilateral facial pain and odontalgia. The pain was described as throbbing, dull, and constant. Tinnitus, hearing loss, dizziness, and others symptoms were also present. Due to the characteristics of the pain and clinical or radiographic findings, other possible diagnoses, such as temporomadibular disorder, tooth-related pain, sinusitis, and primary headaches, were excluded. Somatosensory tests for allodynia and hyperalgesia showed extraoral and intraoral hypersensitivity. Magnetic resonance imaging revealed a lesion located on the right cerebellopontine angle extending into and obliterating the internal auditory canal and compressing the middle cerebral peduncle, the pons, and the cisternal segment of cranial nerve V. The patient was diagnosed with a brainstem tumor compatible with AN and trigeminal neuralgia secondary to cranial nerve V compression. CONCLUSION: Although uncommon, intracranial tumors should be considered during orofacial pain evaluation to avoid iatrogenic treatment and delayed diagnosis. SN - 1754-4505 UR - https://www.unboundmedicine.com/medline/citation/32384226/Orofacial_pain_secondary_to_acoustic_neuroma-A_case_report L2 - https://doi.org/10.1111/scd.12461 DB - PRIME DP - Unbound Medicine ER -