Document Detail

Anesthesia dolorosa caused by penetrating cranial injury.
MedLine Citation:
PMID:  17035704     Owner:  NLM     Status:  MEDLINE    
Anesthesia dolorosa (AD) is an uncommon complication of surgical treatments for trigeminal neuralgia. Its incidence is around 0.8%. To our best knowledge, AD caused by a penetrating cranial injury has not been reported previously. We report the case of a 31-year-old male patient with left-sided neuropathic keratitis and AD that began 18 years earlier, following a penetrating cranial injury with a knife to the left postauricular area. The patient was successfully treated by a carbamazepine and gabapentin combination. In conclusion, penetrating cranial injury is uncommon but may cause a serious neurologic disturbance. In the differential diagnosis of AD, a penetrating injury should be kept in mind. In these cases, treatments should be effective and immediate; otherwise, this may result in catastrophic consequences such as neurotrophic keratitis and blindness. Ophthalmologists should be aware of these potential problems.
Mehmet Tatli; Ugur Keklikci; Ufuk Aluclu; Sedat Akdeniz
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2006-10-11
Journal Detail:
Title:  European neurology     Volume:  56     ISSN:  0014-3022     ISO Abbreviation:  Eur. Neurol.     Publication Date:  2006  
Date Detail:
Created Date:  2006-11-20     Completed Date:  2007-01-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0150760     Medline TA:  Eur Neurol     Country:  Switzerland    
Other Details:
Languages:  eng     Pagination:  162-5     Citation Subset:  IM    
Copyright Information:
Copyright (c) 2006 S. Karger AG, Basel.
Department of Neurosurgery, Medical School, Dicle University, TR-21280 Diyarbakir, Turkey.
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MeSH Terms
Brain Injuries / pathology*
Magnetic Resonance Imaging
Pain / etiology*
Sensation Disorders / etiology*
Wounds, Penetrating / pathology*

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