Case report: Unilateral masticatory atrophy caused by pure trigeminal motor neuropathy

Pure trigeminal motor neuropathy (PTMN) is characterized by trigeminal motor weakness without signs of trigeminal sensory dysfunction or involvement of other cranial nerves. We describe a rare case of an 83-year-old man with weakness and atrophy of the right masticatory muscle without any sensory di...

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Main Authors: Kaoru Kinugawa, MD, Tomoo Mano, MD, PhD, Yosuke Nakagawa, DDS, PhD, Naoki Hotta, MD, Kazuma Sugie, MD, PhD
Format: Article
Language:English
Published: Elsevier 2022-12-01
Series:Radiology Case Reports
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043322008020
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author Kaoru Kinugawa, MD
Tomoo Mano, MD, PhD
Yosuke Nakagawa, DDS, PhD
Naoki Hotta, MD
Kazuma Sugie, MD, PhD
author_facet Kaoru Kinugawa, MD
Tomoo Mano, MD, PhD
Yosuke Nakagawa, DDS, PhD
Naoki Hotta, MD
Kazuma Sugie, MD, PhD
author_sort Kaoru Kinugawa, MD
collection DOAJ
description Pure trigeminal motor neuropathy (PTMN) is characterized by trigeminal motor weakness without signs of trigeminal sensory dysfunction or involvement of other cranial nerves. We describe a rare case of an 83-year-old man with weakness and atrophy of the right masticatory muscle without any sensory disturbance. Brain computed tomography and magnetic resonance imaging revealed atrophy and fatty infiltration of the right masticatory muscle. Electromyography revealed abnormal spontaneous activity, chronic neurogenic motor unit potentials, and reduced interference patterns in the right temporalis and the masseter muscles. The patient was diagnosed with PTMN based on the clinical symptoms and examinations. Our case presents a rare clinical manifestation with unclear etiology.
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spelling doaj.art-1d4145c25dcc464991cbeff3a52003572022-12-22T02:27:01ZengElsevierRadiology Case Reports1930-04332022-12-01171245424545Case report: Unilateral masticatory atrophy caused by pure trigeminal motor neuropathyKaoru Kinugawa, MD0Tomoo Mano, MD, PhD1Yosuke Nakagawa, DDS, PhD2Naoki Hotta, MD3Kazuma Sugie, MD, PhD4Department of Neurology, Nara Medical University, Kashihara, JapanDepartment of Neurology, Nara Medical University, Kashihara, Japan; Department of Rehabilitation Medicine, Nara Medical University, Kashihara, Japan; Corresponding author.Department of Oral and Maxillofacial Surgery, Nara Medical University, Kashihara, JapanDepartment of Rehabilitation Medicine, Nara Medical University, Kashihara, JapanDepartment of Neurology, Nara Medical University, Kashihara, JapanPure trigeminal motor neuropathy (PTMN) is characterized by trigeminal motor weakness without signs of trigeminal sensory dysfunction or involvement of other cranial nerves. We describe a rare case of an 83-year-old man with weakness and atrophy of the right masticatory muscle without any sensory disturbance. Brain computed tomography and magnetic resonance imaging revealed atrophy and fatty infiltration of the right masticatory muscle. Electromyography revealed abnormal spontaneous activity, chronic neurogenic motor unit potentials, and reduced interference patterns in the right temporalis and the masseter muscles. The patient was diagnosed with PTMN based on the clinical symptoms and examinations. Our case presents a rare clinical manifestation with unclear etiology.http://www.sciencedirect.com/science/article/pii/S1930043322008020Unilateral masticatory muscle atrophyTrigeminal nervePure trigeminal motor neuropathyMalocclusionMagnetic resonance imaging
spellingShingle Kaoru Kinugawa, MD
Tomoo Mano, MD, PhD
Yosuke Nakagawa, DDS, PhD
Naoki Hotta, MD
Kazuma Sugie, MD, PhD
Case report: Unilateral masticatory atrophy caused by pure trigeminal motor neuropathy
Radiology Case Reports
Unilateral masticatory muscle atrophy
Trigeminal nerve
Pure trigeminal motor neuropathy
Malocclusion
Magnetic resonance imaging
title Case report: Unilateral masticatory atrophy caused by pure trigeminal motor neuropathy
title_full Case report: Unilateral masticatory atrophy caused by pure trigeminal motor neuropathy
title_fullStr Case report: Unilateral masticatory atrophy caused by pure trigeminal motor neuropathy
title_full_unstemmed Case report: Unilateral masticatory atrophy caused by pure trigeminal motor neuropathy
title_short Case report: Unilateral masticatory atrophy caused by pure trigeminal motor neuropathy
title_sort case report unilateral masticatory atrophy caused by pure trigeminal motor neuropathy
topic Unilateral masticatory muscle atrophy
Trigeminal nerve
Pure trigeminal motor neuropathy
Malocclusion
Magnetic resonance imaging
url http://www.sciencedirect.com/science/article/pii/S1930043322008020
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