J Korean Neurol Assoc.  2018 Aug;36(3):231-234. 10.17340/jkna.2018.3.20.

Immunoglobulin G4-Related Disease Presenting with Isolated, Intractable Trigeminal Neuralgia

Affiliations
  • 1Department of Neurology, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea. fever26@gmail.com
  • 2Department of Rheumatology, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea.

Abstract

Immunoglobulin G4-related disease (IgG4-RD) is an immune-mediated systemic condition affecting diverse organs which lately has been increasingly recognized. A 40-year-old male presents intractable trigeminal neuralgia lasting more than a year even with numerous pain medication, which lead further evaluation. The infiltrative lesion was found involving left pterygopalatine fossa where maxillary nerve locates. We report a case of IgG4-RD with a sole manifestation of intractable unilateral trigeminal neuralgia which was improved by steroid treatment.

Keyword

IgG4-related disease; Trigeminal neuralgia; Facial pain

MeSH Terms

Adult
Facial Pain
Humans
Immunoglobulins*
Male
Maxillary Nerve
Pterygopalatine Fossa
Trigeminal Neuralgia*
Immunoglobulins
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