Trigeminal neuralgia as unusual isolated symptom of fungal paranasal sinusitis in patients with haematological malignancies

M. Maschio, A. Mengarelli, C. Girmenia, A. Vidiri, R. Kayal, M. T. Gallo, G. Prignano, M. L. Dessanti, M. D'Andrea, M. C. Petti

Research output: Contribution to journalArticle

Abstract

A sinonasal infection is a frequent complication in patients with haematological malignancies, and may represent a challenge in terms of differential diagnosis between a bacterial or fungal infective process and tumour localization. A timely and correct diagnosis in these patients is critical and, therefore, may require consultation of specialists outside of haematology; an incorrect diagnosis which underestimates the seriousness of the infection can be fatal. Symptomatic trigeminal neuralgia resulting from direct compression or perineural invasion from malignancy is not uncommon in the literature. However, trigeminal neuralgia as an isolated symptom at the onset of a bacterial or invasive fungal sinusitis is rare and risks going unnoticed. The authors herein describe three cases of patients affected by acute myeloid leukaemia or lymphoma in which an invasive fungal sinusitis appeared at the onset as an isolated trigeminal neuralgia, with pain located along the distribution area of the second branch of the trigeminal nerve. Only after referring these patients to a neurologist for a host of neurological exams it was possible to confirm a diagnosis of secondary maxillary sinus fungal involvement.

Original languageEnglish
Pages (from-to)647-652
Number of pages6
JournalNeurological Sciences
Volume33
Issue number3
DOIs
Publication statusPublished - Jun 2012

Keywords

  • Fungal sinusitis
  • Haematological malignancies
  • Pain
  • Trigeminal neuropathy

ASJC Scopus subject areas

  • Clinical Neurology
  • Psychiatry and Mental health
  • Dermatology

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