Abstract
BackgroundDespite improvements in surgical techniques, the removal of vestibular schwannoma is related to some complications. Recovery from surgical complications of vestibular schwannoma is often difficult and complications sometimes lead to permanent deficits. However, treatable trigeminal symptoms may be missed in atypical cases.Case presentationA 46-year-old woman complained about burning sensation on her tongue and maxilla for four years before her first visit to our clinic. She visited the neurosurgery department in a university hospital because her facial pain and burning sensation of her tongue were suddenly aggravated. She was diagnosed with vestibular schwannoma and tumour resection was performed. However, her oral pain persisted after surgery. Two months before the initial visit to our clinic, the oral pain became more severe than ever before. When the patient visited a psychiatrist due to a panic attack, the psychiatrist diagnosed her as having somatic symptom disorder and depression and referred her to our clinic.Based on the characteristics of the pain, she was diagnosed as burning mouth syndrome and treated for the same. Within 1.5 months, the pain and burning sensation of the tongue and maxilla almost completely remitted with low dose amitriptyline.ConclusionsOur case suggests that there are exceptional cases in which burning mouth syndrome and vestibular schwannoma occur simultaneously. Burning pain after vestibular schwannoma surgery cannot always be considered a complication of surgery.
Highlights
Despite improvements in surgical techniques, the removal of vestibular schwannoma is related to some complications
Vestibular schwannoma (VS) or acoustic neuroma is a benign brain tumour that accounts for approximately 13 % of intracranial tumours and 90 % of tumours in the cerebellopontine angle [1, 2]
To the best of our knowledge, there is no documented case of Burning Mouth Syndrome (BMS) either comorbid with vestibular schwannoma or that occurred due to surgical complications
Summary
Our case suggests that there are exceptional cases in which burning mouth syndrome and vestibular schwannoma occur simultaneously.
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have