설인신경통으로 오인된 삼차신경통 = A Case of Atypical Trigeminal Neuralgia mistaken as Glossopharyngeal Neuralgia

다국어 초록 (Multilingual Abstract)

Trigeminal neuralgia (TGN) is a relatively well-known disorder with characteristic brief attacks of shooting pain in the facial regions. Atypical signs like constant pain and/or sensory abnormalities can develop as the disease progresses. Some cases begin with atypical signs and later develop all the hallmarks of TGN. The atypical forms of TGN can be misdiagnosed as other pain disorders. We present a patient with facial pain who demonstrated a transformation in signs of glossopharyngeal neuralgia into typical trigeminal neuralgia. A 71 year-old man was referred for sharp episodic pain in his right side of the face and neck. The pain was mainly in the neck, which was worsened especially by swallowing. The condition was initially diagnosed as a glossopharyngenl neuralgia. While controlling the pain conservatively with a sympathetic blockade, the neck pain disappeared suddenly and lower jaw pain triggered by speaking and chewing became prominent, which are the characteristic signs of trigeminal neuralgia. (Korean J Anesthesiol 2006; 51: 772～4)

국문 초록 (Abstract)

삼차신경통은 안면부 통증에서 비교적 드물지 않은 질환이지만 전형적인 특성이 뚜렷하지 않은 경우도 상당히 많고 다른 뇌신경 통증질환과 유사한 증상을 보이는 경우도 있으므로 결정적인 침습적 처치를 고려하기 전에 비침습적인 약물치료를 하면서 충분한 기간 관찰하는 것이 통증 치료뿐만 아니라 다른 안면부 통증 질환과의 감별 진단을 위해서도 도움이 될 것으로 생각한다.

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