Post-apopletic trigeminal trophic syndrome

J Eur Acad Dermatol Venereol. 2001 Mar;15(2):153-5. doi: 10.1046/j.1468-3083.2001.00146.x.


Trigeminal trophic syndrome is an uncommon clinical entity in which cutaneous trophic ulceration develops with continuous manipulation of trigeminal dermatomes. Patients spontaneously refer picking, rubbing and/or scratching at the affected areas because of hypo-anaesthesia, paraesthesia and/or pain following damage of the sensory trigeminal fibres or nuclei. We herein describe a patient who developed the syndrome as a sequela of brain stem infarction. Diagnosis by scrape cytology in ruling-out basal cell carcinoma and other ulcerative skin diseases is discussed and the importance of neurological examination in disclosing hemi-anaesthesia of trigeminal dermatome(s) is emphasized.

Publication types

  • Case Reports

MeSH terms

  • Biopsy
  • Diagnosis, Differential
  • Facial Dermatoses / etiology*
  • Facial Dermatoses / pathology
  • Facial Dermatoses / therapy
  • Follow-Up Studies
  • Humans
  • Male
  • Middle Aged
  • Paresthesia / etiology*
  • Severity of Illness Index
  • Skin Neoplasms / pathology
  • Skin Ulcer / etiology*
  • Skin Ulcer / pathology
  • Skin Ulcer / therapy
  • Stroke / complications*
  • Stroke / diagnosis
  • Syndrome
  • Trigeminal Neuralgia / etiology*