Postherpetic Trigeminal Trophic Syndrome: An under recognized condition

S Agrawal,Tk Dhali

doi:10.3126/njdvl.v9i1.5769

Abstract

DOI: http://dx.doi.org/10.3126/njdvl.v9i1.5769 NJDVL 2010; 9(1): 31-33

Highlights

Trigeminal trophic syndrome (TTS) is a rare complication after peripheral or central damage to the trigeminal nerve, characterized by sensorial impairment in the trigeminal nerve territory and self-induced skin ulceration.[1]
Trigeminal trophic syndrome is a rare entity in which cutaneous ulceration develops within trigeminal dermatomes 1
TTS was first described as a cutaneous ulceration in the trigeminal dermatome by Wallenberg[2] in 1901, with its first appearance in the English language literature noted by Loveman[3] and McKenzie[4] in 1933

Summary

Introduction

Trigeminal trophic syndrome (TTS) is a rare complication after peripheral or central damage to the trigeminal nerve, characterized by sensorial impairment in the trigeminal nerve territory and self-induced skin ulceration.[1] The different causes of TTS includes trigeminal nerve ablation, wallenberg syndrome (stroke/ vascular insufficiency), tumor, post-encephalitic, trauma, craniotomy, herpes zoster, herpes simplex, leprosy, syphilis, neurological complications from birth trauma. Trigeminal trophic syndrome may develop months to years after trigeminal nerve insult. Its most common presentation is a crescent-shaped ulceration within the trigeminal sensory territory

Case report

Discussion

Conclusion