domingo, 19 de enero de 2014

Síndrome trigeminal trófico/Trigeminal trophic syndrome

Síndrome trigeminal trófico: informe de 2 casos


Trigeminal trophic syndrome: report of 2 cases.
Osaki Y, Kubo T, Minami K, Maeda D.
Eplasty. 2013 Nov 15;13:e60.
Abstract
Objective: We present 2 cases of trigeminal trophic syndrome treated by surgery. Methods: We performed reconstruction of the ala nasi using a nasolabial flap or paramedian forehead flap in combination with an auricular chondrocutaneous composite graft. Results: One case was successfully treated. However, ulceration recurred intermittently in the other case. Conclusions: Although trigeminal trophic syndrome is rare, we believe that plastic surgeons should have a raised awareness of this entity and familiarity with the treatment options.
KEYWORDS: nasal ala, nasal reconstruction, trigeminal nerve, trigeminal trophic syndrome, ulceration
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3836353/pdf/eplasty13e60.pdf


Síndrome trigeminal trófico

Trigeminal trophic syndrome.
Kumar P, Thomas J.
Indian J Dermatol [serial online] 2014 [cited 2013 Dec 23];59:75-6.
Abstract
Trigeminal trophic syndrome (TTS) is a rare cause of facial ulceration, consequent to damage to the trigeminal nerve or its central sensory connections. We report a case of TTS in a 48-year-old woman with Bell palsi following herpes zoster infection. The patient was treated and counseled. There hasnot been any recurrence for 1 year and the patient is being followed-up. The diagnosis of TTS should be suspected when there is unilateral facial ulceration, especially involving the ala nasi associated with sensory impairment.
Keywords: Bells palsy, herpes zoster, trigeminal trophic syndrome

http://www.e-ijd.org/text.asp?2014/59/1/75/123506

Condiciones dermatológicas e inmunológicas debido a lesiones nerviosas
Dermatological and immunological conditions due to nerve lesions.
Bove D, Lupoli A, Caccavale S, Piccolo V, Ruocco E.
Funct Neurol. 2013 Apr-May;28(2):83-91. doi: 10.11138/FNeur/2013.28.2.083.
Abstract
Some syndromes are of interest to both neurologists and dermatologists, because cutaneous involvement may harbinger symptoms of a neurological disease. The aim of this review is to clarify this aspect. The skin, because of its relationships with the peripheral sensory nervous system, autonomic nervous system and central nervous system, constitutes a neuroimmunoendocrine organ. The skin contains numerous neuropeptides released from sensory nerves. Neuropeptides play a precise role in cutaneous physiology and pathophysiology, and in certain skin diseases. A complex dysregulation of neuropeptides is a feature of some diseases of both dermatological and neurological interest (e.g. cutaneous and nerve lesions following herpes zoster infection, cutaneous manifestations of carpal tunnel syndrome, trigeminal trophic syndrome). Dermatologists need to know when a patient should be referred to a neurologist and should consider this option in those presenting with syndromes of unclear etiology.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3812736/pdf/83-91.pdf



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Anestesiología y Medicina del Dolor
www.anestesia-dolor.org

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