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Transient Hemifacial Sensory Loss with Xerophthalmia following Temporal Lobectomy

Published online by Cambridge University Press:  02 December 2014

Ajith J. Thomas ,
Kost Elisevich  and
Brien Smith
Ajith J. Thomas
Affiliation:
Department of Neurosurgery, Henry Ford, Hospital, Detroit, Michigan.
Kost Elisevich
Affiliation:
Department of Neurosurgery, Henry Ford, Hospital, Detroit, Michigan.
Brien Smith
Affiliation:
Department of Neurology, Henry Ford, Hospital, Detroit, Michigan.
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Abstract

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Objective and importance:

The occurrence of a unilateral sensory loss in the second trigeminal distribution and the inability to tear following an ipsilateral temporal lobectomy has not been noted despite a number of reports of cranial nerve compromise under similar situations.

Clinical presentation:

A 48-year-old woman experienced complex partial seizures over three years attributable to the presence of cavernous malformations of the right temporal lobe.

Intervention:

An anterior temporal extrahippocampal resection was performed. The surgery was marked by the need for electrocoagulation of the dural base of the temporal lobe where numerous bleeding points were encountered. Postoperatively, the patient experienced an ipsilateral maxillary division sensory loss, absence of tearing, and diminished nasal congestion for an eight-month period until resolution.

Conclusion:

Injury of the fibers of the maxillary division of the trigeminal nerve and the adjacent greater superficial petrosal nerve appears to be the cause. No prior account of such an occurrence has been published.

Résumé:

RÉSUMÉ:Objectif et importance:

La perte de sensibiliténilatéle dans le territoire de la deuxiè branche du trijumeau et l’absence de larmes suite àne lobectomie temporale ipsilatéle n’a pas é notébien que plusieurs rapports font ét d’atteintes de nerfs crâens dans des circonstances analogues.

Préntation clinique:

Une femme âe de 48 ans a préntéendant 3 ans des crises complexes partielles dues àa prénce de malformations caverneuses du lobe temporal droit.

Intervention:

Une réction temporale antéeure extrahippocampale a é effectué La chirurgie a néssité’éctrocoagulation de plusieurs vaisseaux àa base durale du lobe temporal. En postopétoire, la patiente a préntéendant de 8 mois une perte sensitive dans le territoire maxillaire ipsilatél, une absence de larmes et une diminution de la congestion nasale.

Conclusion:

Une léon des fibres de la branche maxillaire du trijumeau et du grand nerf péeux superficiel adjacent semble êe la cause de cette complication qui n’a jamais é rapporté

Type
Case Report
Information
Canadian Journal of Neurological Sciences , Volume 27 , Issue 3 , August 2000 , pp. 251 - 253
Copyright
Copyright © The Canadian Journal of Neurological 2000

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