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Mental nerve neuropathy: case report and review

Published online by Cambridge University Press:  21 May 2015

Amy Turner-Iannacci ,
Eisa Mozaffari  and
Eric T. Stoopler
Amy Turner-Iannacci
Affiliation:
Department of Oral Medicine, University of Pennsylvania School of Dental Medicine, Philadelphia, Pa.
Eisa Mozaffari
Affiliation:
Department of Oral Medicine, University of Pennsylvania School of Dental Medicine, Philadelphia, Pa.
Eric T. Stoopler*
Affiliation:
Department of Oral Medicine, University of Pennsylvania School of Dental Medicine, Philadelphia, Pa.
*
Department of Oral Medicine, University of Pennsylvania School of Dental Medicine, 240 South 40th St., Philadelphia PA 19104 USA; 215 746-0112, fax 215 573-7853, ets@pobox.upenn.edu

Abstract

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Mental nerve neuropathy (MNN) or “numb chin syndrome” is a rare neurologic symptom most often associated with malignancy. Patients typically develop paresthesia or numbness localized to the chin and lower lip and will often seek care at their local emergency department. Pain and expansion of the lower jaw may also be present. We report a case of MNN associated with a metastatic lesion in the mandible. The purpose of this article is to highlight the importance of recognizing MNN, a potentially life-threatening symptom of metastatic carcinoma, and enable clinicians to properly diagnose MNN, which may mimic other conditions that affect the mandible.

Keywords

mental nerve neuropathymetastatic carcinoma
Type
Case Report • Observations de Cas
Information
Canadian Journal of Emergency Medicine , Volume 5 , Issue 4 , July 2003 , pp. 259 - 262
Copyright
Copyright © Canadian Association of Emergency Physicians 2003

References

1.Halachmi, S, Madeb, R, Madjar, S, Wald, M, River, Y, Nativ, O.Numb chin syndrome as the presenting symptom of metastatic prostate carcinoma [abstract]. Urology 2000;55:286.CrossRefGoogle ScholarPubMed
2.Glaser, C, Lang, S, Pruckmayer, M, Millesi, W, Rasse, M, Marosi, C, et al. Clinical manifestations and diagnostic approach to metastatic cancer of the mandible. Int J Oral Maxillofac Surg 1997;26:365–8.Google Scholar
3.Massey, EW, Moore, J, Schold, SC.Mental neuropathy from systemic cancer. Neurology 1981;31:1277–81.Google Scholar
4.Lossos, A, Siegal, T.Numb chin syndrome in cancer patients: etiology, response to treatment, and prognostic significance. Neurology 1992;42:1181–4.CrossRefGoogle ScholarPubMed
5.Laurencet, FM, Anchisi, S, Tullen, E, Dietrich, PY.Mental neuropathy: report of five cases and review of the literature. Crit Rev Oncol Hematol 2000;34:71–9.Google Scholar
6.Burt, RK, Sharfman, WH, Karp, BI, Wilson, WH.Mental neuropathy (Numb Chin Syndrome). A harbinger of tumour progression or relapse. Cancer 1992;70:877–81.Google Scholar
7.Hiraki, A, Nakamura, S, Abe, K, Takenoshita, Y, Horinuchi, Y, Shinohara, M, Shirasuna, K.Numb chin syndrome as an initial symptom of acute lymphocytic leukemia: report of 3 cases. Oral Surg Oral Med Oral Path Oral Radiol Endod 1997;83:555–61.CrossRefGoogle Scholar
8.Silverstein, LH, Szikman, M, Melkonian, R, Dubovsky, D.Mental neuropathy associated with malignant disease: a case report. J Oral Implantol 1994;20:63–4.Google ScholarPubMed