Facial onset sensory and motor neuropathy in a pain clinic outpatient: a case report

Bibliographic Details
Title: Facial onset sensory and motor neuropathy in a pain clinic outpatient: a case report
Authors: Hiroki Hanawa, Ryo Nagaoka, Yuya Fukuda, Kazuya Akutsu, Teppei Yamada, Shinsuke Hamaguchi
Source: Journal of Medical Case Reports, Vol 15, Iss 1, Pp 1-3 (2021)
Publisher Information: BMC, 2021.
Publication Year: 2021
Collection: LCC:Medicine
Subject Terms: Facial onset sensory and motor neuropathy (FOSMN), Facial paresthesia, Cervical facet arthropathy, Cervical pain, Medicine
More Details: Abstract Background Facial onset sensory and motor neuropathy is a very rare sensorimotor disorder characterized by facial onset and gradual progression, with approximately 100 cases reported worldwide in 2020. We report on our experience with a facial onset sensory and motor neuropathy case in our outpatient pain clinic. Case presentation A 71-year-old Japanese man with a previous diagnosis of trigeminal nerve palsy complained of facial paresthesia, cervical pain, and arm numbness. Cervical facet arthropathy was diagnosed initially, but neither pharmacotherapy nor nerve blocking alleviated his symptoms. We suspected bulbar palsy based on the presence of tongue fasciculation, which prompted referral to a neurologist. Based on a series of neurological examinations, facial onset sensory and motor neuropathy was ultimately diagnosed. Conclusions Pain clinicians must be mindful of rare diseases such as facial onset sensory and motor neuropathy; if they are unable to make a diagnosis, they should consult with other competent specialists.
Document Type: article
File Description: electronic resource
Language: English
ISSN: 1752-1947
Relation: https://doaj.org/toc/1752-1947
DOI: 10.1186/s13256-021-03212-7
Access URL: https://doaj.org/article/238645cdeac846cbac6d795866aa93ca
Accession Number: edsdoj.238645cdeac846cbac6d795866aa93ca
Database: Directory of Open Access Journals
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More Details
ISSN:17521947
DOI:10.1186/s13256-021-03212-7
Published in:Journal of Medical Case Reports
Language:English