Painful Trigeminal Neuropathy and Horner’s Syndrome as Manifestations of Cervical Myelopathy (original) (raw)

2020

Abstract

A 54-year-old male presented with a 2-week history of constant left-sided burning, tingling facial pain in the territory of the trigeminal nerve (CNV) with radiation to the neck and shoulder. He had moderate respiratory distress upon arrival at the hospital. Laboratory investigations revealed salicylate poisoning. He had been taking high doses of acetylsalicylic acid (ASA) daily to cope with his severe facial pain. He was stabilized with oxygen supplementation and treated via alkaline diuresis for the salicylate toxicity. He became unable to walk within a day of hospital admission. Neurology was consulted for assessment of this heterogeneous symptom complex. The patient’s neurological examination was significant for subtle left-sided Horner’s syndrome with miosis and ptosis. Additionally, he had mild left hemiparesis. Sensory examination was negative for sensory loss to touch or pinprick. However, the patient had continuous left-sided pain in the forehead, maxilla, and mandibular ar...

Ekhlas Assaedi hasn't uploaded this paper.

Let Ekhlas know you want this paper to be uploaded.

Ask for this paper to be uploaded.