Supra Orbital Neuralgia a Rare Manifestatoin of Neuritic Hansen's Disease

Abstract

One of the most common diseases in tropical countries is Hansen's disease. Mainly presents as Tuberculoid and lepromatous leprosy apart from its sub classification. Neuritic Hansen's disease is one of the commonly seen cases by the neurologists. It can present as mononeuritic form or mononeuritis multiplex with or without dermatologic manifestations. Among the peripheral nerves involved most common are greater auricular, ulnar,superficial radial,Median, common peroneal and posterior tibial. It's very rare to involve supra orbital nerve.Here we present a case of Supra orbital neuralgia with thickened nerve associated with erythematous hypoaesthetic patch with raised margins.Tapping over the supra orbital nerve produces severe shock like pain .This patient was not willing for Biopsy and hence basing on clinical diagnosis MDT was started and the patient showed remarkable improvement in 1 month.