Trigeminal trophic syndrome treated with thermoplastic occlusion
ABSTRACT A 72‐year‐old man with a history of thrombotic CVA causing lateral medullary infarction presented with non‐healing ulcers of the right side of the face of 5 months' duration. After extensive investigations, a diagnosis of trigeminal trophic syndrome was made. The ulcers progressed rele...
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Veröffentlicht in: | Australasian journal of dermatology 2011-02, Vol.52 (1), p.e1-e4 |
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creator | Kurien, Anil M Damian, Diona L Moloney, Fergal J |
description | ABSTRACT
A 72‐year‐old man with a history of thrombotic CVA causing lateral medullary infarction presented with non‐healing ulcers of the right side of the face of 5 months' duration. After extensive investigations, a diagnosis of trigeminal trophic syndrome was made. The ulcers progressed relentlessly despite amitriptyline and gabapentin, and he was treated with a combination of carbamazepine and thermoplastic mask occlusion of the right side of his face. Over the next 10 weeks the shallower facial ulcers began to diminish in depth and diameter, and the deeper ulcers stopped progressing. Although the patient showed early signs of healing, he died because of complications from the CVA. |
doi_str_mv | 10.1111/j.1440-0960.2009.00613.x |
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A 72‐year‐old man with a history of thrombotic CVA causing lateral medullary infarction presented with non‐healing ulcers of the right side of the face of 5 months' duration. After extensive investigations, a diagnosis of trigeminal trophic syndrome was made. The ulcers progressed relentlessly despite amitriptyline and gabapentin, and he was treated with a combination of carbamazepine and thermoplastic mask occlusion of the right side of his face. Over the next 10 weeks the shallower facial ulcers began to diminish in depth and diameter, and the deeper ulcers stopped progressing. Although the patient showed early signs of healing, he died because of complications from the CVA.</description><identifier>ISSN: 0004-8380</identifier><identifier>EISSN: 1440-0960</identifier><identifier>DOI: 10.1111/j.1440-0960.2009.00613.x</identifier><identifier>PMID: 21332680</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Aged ; carbamazepine ; gabapentin ; Humans ; lateral medullary syndrome ; Male ; Skin Ulcer - etiology ; Skin Ulcer - therapy ; Stroke - complications ; Trigeminal Nerve Diseases - complications ; Trigeminal Nerve Diseases - therapy</subject><ispartof>Australasian journal of dermatology, 2011-02, Vol.52 (1), p.e1-e4</ispartof><rights>2010 The Authors. Australasian Journal of Dermatology © 2010 The Australasian College of Dermatologists</rights><rights>2010 The Authors. Australasian Journal of Dermatology © 2010 The Australasian College of Dermatologists.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c3183-4e2f241c81be96ad77304a235d652fbced313a1514ec7aee4218efe9c07a90e63</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1440-0960.2009.00613.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1440-0960.2009.00613.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21332680$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Kurien, Anil M</creatorcontrib><creatorcontrib>Damian, Diona L</creatorcontrib><creatorcontrib>Moloney, Fergal J</creatorcontrib><title>Trigeminal trophic syndrome treated with thermoplastic occlusion</title><title>Australasian journal of dermatology</title><addtitle>Australas J Dermatol</addtitle><description>ABSTRACT
A 72‐year‐old man with a history of thrombotic CVA causing lateral medullary infarction presented with non‐healing ulcers of the right side of the face of 5 months' duration. After extensive investigations, a diagnosis of trigeminal trophic syndrome was made. The ulcers progressed relentlessly despite amitriptyline and gabapentin, and he was treated with a combination of carbamazepine and thermoplastic mask occlusion of the right side of his face. Over the next 10 weeks the shallower facial ulcers began to diminish in depth and diameter, and the deeper ulcers stopped progressing. Although the patient showed early signs of healing, he died because of complications from the CVA.</description><subject>Aged</subject><subject>carbamazepine</subject><subject>gabapentin</subject><subject>Humans</subject><subject>lateral medullary syndrome</subject><subject>Male</subject><subject>Skin Ulcer - etiology</subject><subject>Skin Ulcer - therapy</subject><subject>Stroke - complications</subject><subject>Trigeminal Nerve Diseases - complications</subject><subject>Trigeminal Nerve Diseases - therapy</subject><issn>0004-8380</issn><issn>1440-0960</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1Lw0AQhhdRbK3-BcnNU-LsR5INeLDUbwpe6nnZbiZ2S77MJrT59ya2di4zzPswMA8hHoWADnW_DagQ4EMSQcAAkgAgojzYn5HpKTgnUwAQvuQSJuTKuS0A5TQML8mEUc5ZJGFKHleN_cbCljr32qaqN9Z4ri_TpipwWKBuMfV2tt147Qaboqpz7dqBqYzJO2er8ppcZDp3eHPsM_L18rxavPnLz9f3xXzpG04l9wWyjAlqJF1jEuk0jjkIzXiYRiHL1gZTTrmmIRVoYo0oGJWYYWIg1glgxGfk7nC3bqqfDl2rCusM5rkuseqckiFnjIlYDuTtkezWBaaqbmyhm179Pz0ADwdgZ3PsTzkFNcpVWzU6VKNDNcpVf3LVXs0_noaB_wKxKG0c</recordid><startdate>201102</startdate><enddate>201102</enddate><creator>Kurien, Anil M</creator><creator>Damian, Diona L</creator><creator>Moloney, Fergal J</creator><general>Blackwell Publishing Asia</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201102</creationdate><title>Trigeminal trophic syndrome treated with thermoplastic occlusion</title><author>Kurien, Anil M ; Damian, Diona L ; Moloney, Fergal J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c3183-4e2f241c81be96ad77304a235d652fbced313a1514ec7aee4218efe9c07a90e63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Aged</topic><topic>carbamazepine</topic><topic>gabapentin</topic><topic>Humans</topic><topic>lateral medullary syndrome</topic><topic>Male</topic><topic>Skin Ulcer - etiology</topic><topic>Skin Ulcer - therapy</topic><topic>Stroke - complications</topic><topic>Trigeminal Nerve Diseases - complications</topic><topic>Trigeminal Nerve Diseases - therapy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kurien, Anil M</creatorcontrib><creatorcontrib>Damian, Diona L</creatorcontrib><creatorcontrib>Moloney, Fergal J</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Australasian journal of dermatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kurien, Anil M</au><au>Damian, Diona L</au><au>Moloney, Fergal J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Trigeminal trophic syndrome treated with thermoplastic occlusion</atitle><jtitle>Australasian journal of dermatology</jtitle><addtitle>Australas J Dermatol</addtitle><date>2011-02</date><risdate>2011</risdate><volume>52</volume><issue>1</issue><spage>e1</spage><epage>e4</epage><pages>e1-e4</pages><issn>0004-8380</issn><eissn>1440-0960</eissn><abstract>ABSTRACT
A 72‐year‐old man with a history of thrombotic CVA causing lateral medullary infarction presented with non‐healing ulcers of the right side of the face of 5 months' duration. After extensive investigations, a diagnosis of trigeminal trophic syndrome was made. The ulcers progressed relentlessly despite amitriptyline and gabapentin, and he was treated with a combination of carbamazepine and thermoplastic mask occlusion of the right side of his face. Over the next 10 weeks the shallower facial ulcers began to diminish in depth and diameter, and the deeper ulcers stopped progressing. Although the patient showed early signs of healing, he died because of complications from the CVA.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>21332680</pmid><doi>10.1111/j.1440-0960.2009.00613.x</doi><tpages>4</tpages></addata></record> |
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subjects | Aged carbamazepine gabapentin Humans lateral medullary syndrome Male Skin Ulcer - etiology Skin Ulcer - therapy Stroke - complications Trigeminal Nerve Diseases - complications Trigeminal Nerve Diseases - therapy |
title | Trigeminal trophic syndrome treated with thermoplastic occlusion |
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