Document Detail


Pure motor trigeminal neuropathy in a woman with tegmental pontine infarction.
MedLine Citation:
PMID:  23835466     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
A 50-year-old woman presented with drowsiness, severe dysarthria, left facial palsy, and left hemiparesis. Diffusion-weighted MRI showed cerebral infarction in the left pontine tegmentum and right cerebellum and angiography revealed basilar artery occlusion. Altered consciousness and hemiparesis fully resolved following successful recananlisation of the basilar artery by emergent intra-arterial thrombolysis. However, about 8months later, obvious wasting of the left temporal and buccal area without sensory signs was detected. Electrophysiological evaluation revealed a chronic denervation process in the left masseter and temporalis muscles. We suggest that a small infarction in the trigeminal nucleus of the pontine tegmentum can cause an isolated trigeminal motor neuropathy with masticatory muscle atrophy.
Authors:
Dae-Hyun Kim; Jong Kuk Kim; Ji-Yoon Kang
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2013-7-5
Journal Detail:
Title:  Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia     Volume:  -     ISSN:  1532-2653     ISO Abbreviation:  J Clin Neurosci     Publication Date:  2013 Jul 
Date Detail:
Created Date:  2013-7-9     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9433352     Medline TA:  J Clin Neurosci     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
Copyright © 2013 Elsevier Ltd. All rights reserved.
Affiliation:
Department of Neurology, Dong-A University College of Medicine, 1, 3-ga, Dongdaesing-dong, Seo-gu, Busan 602-715, Republic of Korea; Busan-Ulsan Regional Cardiocerebrovascular Center, Medical Science Research Center, Dong-A University College of Medicine, Busan, Republic of Korea.
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