A case of vestibular schwannoma with oral burning sensation: surgical complication or burning mouth syndrome?
Abstract Background Despite improvements in surgical techniques, the removal of vestibular schwannoma is related to some complications. Recovery from surgical complications of vestibular schwannoma is often difficult and complications sometimes lead to permanent deficits. However, treatable trigemin...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-08-01
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| Series: | BioPsychoSocial Medicine |
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| Online Access: | https://doi.org/10.1186/s13030-021-00215-0 |
| _version_ | 1818681622501785600 |
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| author | Takayuki Suga Trang T.H Tu Junichiro Sakamoto Akira Toyofuku |
| author_facet | Takayuki Suga Trang T.H Tu Junichiro Sakamoto Akira Toyofuku |
| author_sort | Takayuki Suga |
| collection | DOAJ |
| description | Abstract Background Despite improvements in surgical techniques, the removal of vestibular schwannoma is related to some complications. Recovery from surgical complications of vestibular schwannoma is often difficult and complications sometimes lead to permanent deficits. However, treatable trigeminal symptoms may be missed in atypical cases. Case presentation A 46-year-old woman complained about burning sensation on her tongue and maxilla for four years before her first visit to our clinic. She visited the neurosurgery department in a university hospital because her facial pain and burning sensation of her tongue were suddenly aggravated. She was diagnosed with vestibular schwannoma and tumour resection was performed. However, her oral pain persisted after surgery. Two months before the initial visit to our clinic, the oral pain became more severe than ever before. When the patient visited a psychiatrist due to a panic attack, the psychiatrist diagnosed her as having somatic symptom disorder and depression and referred her to our clinic. Based on the characteristics of the pain, she was diagnosed as burning mouth syndrome and treated for the same. Within 1.5 months, the pain and burning sensation of the tongue and maxilla almost completely remitted with low dose amitriptyline. Conclusions Our case suggests that there are exceptional cases in which burning mouth syndrome and vestibular schwannoma occur simultaneously. Burning pain after vestibular schwannoma surgery cannot always be considered a complication of surgery. |
| first_indexed | 2024-12-17T10:05:53Z |
| format | Article |
| id | doaj.art-5cb0ae3f3c25474b882f9ea5325956f4 |
| institution | Directory Open Access Journal |
| issn | 1751-0759 |
| language | English |
| last_indexed | 2024-12-17T10:05:53Z |
| publishDate | 2021-08-01 |
| publisher | BMC |
| record_format | Article |
| series | BioPsychoSocial Medicine |
| spelling | doaj.art-5cb0ae3f3c25474b882f9ea5325956f42022-12-21T21:53:10ZengBMCBioPsychoSocial Medicine1751-07592021-08-011511310.1186/s13030-021-00215-0A case of vestibular schwannoma with oral burning sensation: surgical complication or burning mouth syndrome?Takayuki Suga0Trang T.H Tu1Junichiro Sakamoto2Akira Toyofuku3Department of Psychosomatic Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental UniversityDepartment of Psychosomatic Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental UniversityDepartment of Oral and Maxillofacial Radiology, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental UniversityDepartment of Psychosomatic Dentistry, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental UniversityAbstract Background Despite improvements in surgical techniques, the removal of vestibular schwannoma is related to some complications. Recovery from surgical complications of vestibular schwannoma is often difficult and complications sometimes lead to permanent deficits. However, treatable trigeminal symptoms may be missed in atypical cases. Case presentation A 46-year-old woman complained about burning sensation on her tongue and maxilla for four years before her first visit to our clinic. She visited the neurosurgery department in a university hospital because her facial pain and burning sensation of her tongue were suddenly aggravated. She was diagnosed with vestibular schwannoma and tumour resection was performed. However, her oral pain persisted after surgery. Two months before the initial visit to our clinic, the oral pain became more severe than ever before. When the patient visited a psychiatrist due to a panic attack, the psychiatrist diagnosed her as having somatic symptom disorder and depression and referred her to our clinic. Based on the characteristics of the pain, she was diagnosed as burning mouth syndrome and treated for the same. Within 1.5 months, the pain and burning sensation of the tongue and maxilla almost completely remitted with low dose amitriptyline. Conclusions Our case suggests that there are exceptional cases in which burning mouth syndrome and vestibular schwannoma occur simultaneously. Burning pain after vestibular schwannoma surgery cannot always be considered a complication of surgery.https://doi.org/10.1186/s13030-021-00215-0Burning mouth syndromeAcoustic neuromaVestibular SchwannomaTumourChronic pain |
| spellingShingle | Takayuki Suga Trang T.H Tu Junichiro Sakamoto Akira Toyofuku A case of vestibular schwannoma with oral burning sensation: surgical complication or burning mouth syndrome? BioPsychoSocial Medicine Burning mouth syndrome Acoustic neuroma Vestibular Schwannoma Tumour Chronic pain |
| title | A case of vestibular schwannoma with oral burning sensation: surgical complication or burning mouth syndrome? |
| title_full | A case of vestibular schwannoma with oral burning sensation: surgical complication or burning mouth syndrome? |
| title_fullStr | A case of vestibular schwannoma with oral burning sensation: surgical complication or burning mouth syndrome? |
| title_full_unstemmed | A case of vestibular schwannoma with oral burning sensation: surgical complication or burning mouth syndrome? |
| title_short | A case of vestibular schwannoma with oral burning sensation: surgical complication or burning mouth syndrome? |
| title_sort | case of vestibular schwannoma with oral burning sensation surgical complication or burning mouth syndrome |
| topic | Burning mouth syndrome Acoustic neuroma Vestibular Schwannoma Tumour Chronic pain |
| url | https://doi.org/10.1186/s13030-021-00215-0 |
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