2013 Volume 20 Issue 1 Pages 32-35
A 74-year-old woman presented with a chief complaint of masticatory muscle disorders and pain in the second branch of the right trigeminal nerve. The diagnosis was right-jaw arthritis and right trigeminal neuralgia (second branch). Eperisone hydrochloride and carbamazepine were administered. After no improvement in the symptomatic state of masticatory muscle disorders, she was referred to us. In place of carbamazepine, pregabalin was administered, but her symptoms remained unchanged. A head MRI revealed a tumor mass in the right-cone italic part, and she underwent cranial nerve surgery. In future cases, if nonclassic symptoms are observed, the possibility of symptomatic trigeminal neuralgia should be explored. It is also highly recommended to incorporate an MRI.
