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Facial Numbness and Paresthesias Resolved with Anterior Cervical Decompression and Fusion

A Report of 3 Cases

Francois, Elvis L. MD1; Clark, Nicholas J. MD1; Freedman, Brett A. MD1

doi: 10.2106/JBJS.CC.18.00294
Case Reports
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Disclosures

Case: We report 3 patients with classic trigeminal neuropathy (TN) findings, which were due to compressive cervical radiculopathy, and provide a brief anatomic explanation for this association. In each case, left-sided disk herniation between the C5 and C7 levels caused TN and classic (dermatome appropriate) cervical radicular findings, all of which resolved with anterior cervical decompression and fusion (ACDF).

Conclusions: To our knowledge, this is the first report of TN caused by radicular compression in the caudal subaxial (C5-C7) cervical spine, which resolved after ACDF.

1Department of Orthopedic Surgery, Mayo Clinic, Rochester, Minnesota

E-mail address for B.A. Freedman: freedman.brett@mayo.edu

Investigation performed at the Department of Orthopedics, Mayo Clinic, Rochester, Minnesota

Disclosure: The Disclosure of Potential Conflicts of Interest forms are provided with the online version of the article (http://links.lww.com/JBJSCC/A812).

Copyright © 2019 by The Journal of Bone and Joint Surgery, Incorporated
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