Skip to main content
  • Home
  • Issues
    • Current Issue
    • All Issues
    • Accepted Articles
    • Online First
    • Supplement
    • CME
  • About
  • For Authors
    • Instructions for Authors
    • Submission Fee
    • Submit Manuscript
  • Podcasts

Trigeminal trophic syndrome: an unusual cause of a non-healing cheek ulcer

< Back to Listing

Share this Article

Singapore Med J 2007; 48(1): e22-e24
Trigeminal trophic syndrome: an unusual cause of a non-healing cheek ulcer

  • Abstract
  • PDF

Neoh CY, Tan AWH
Correspondence: Dr Neoh Ching Yin, cyneoh@nsc.gov.sg

ABSTRACT
Trigeminal trophic syndrome (TTS) is an uncommon condition characterised by anaesthesia, paraesthesias and ala nasi ulceration, following peripheral or central damage to the trigeminal nerve. Only about 100 cases have been described in the literature to date. We report a 74-year-old woman who presented with a right cheek ulcer accompanied by pruritus and paraesthesia for three months. An old right cerebellar infarct was demonstrated on magnetic resonance imaging of the brain. Vertebrobasilar insufficiency leading to the cerebellar infarct is likely to have predisposed her to developing TTS. An underlying infectious, malignant and vasculitic cause for the ulcer was excluded by a skin biopsy. An increased awareness of the predisposing factors and clinical presentations of this important disfiguring condition is necessary to ensure prompt diagnosis and treatment.

Keywords: cheek ulcer, pruritus, trigeminal trophic syndrome, vertebrobasilar insufficiency
Singapore Med J 2007; 48(1): e22–e24

http://smj.org.sg/sites/default/files/4801/4801cr7.pdf
×
POPULAR THIS MONTH
Eating disorders in children and adolescents
Computed tomography findings of abnormal gas in the abdomen and pelvis
Singapore Advanced Cardiac Life Support Guidelines 2021
Validation of the kidney failure risk equation in predicting the risk of progression to kidney failure in a multi-ethnic Singapore chronic kidney disease cohort

Around the Site

Home

About SMJ

For Reviewers

Sign Up for Alerts

Issues

Current Issue

All Issues

Online First

Supplement

CME

For Authors

Instructions for Authors

Submit Manuscript


Follow us on:
        

More Links

Contact Us

Copyright

Advertise

SMJ Forms

Privacy Policy

SMA Home

Copyright 2021. Singapore Medical Association. All Rights Reserved.