Mental Nerve Neuropathy: A Rare Manifestation in Sickle Cell Disease

Date of submission: 09-08-2017 | Date of acceptance: 04-04-2018 | Published: 06-11-2018

  • Margarida Alcafache Paediatric Hematology Unit, Department of Women, Children and Adolescents, Hospital Dona Estefânia, Centro Hospitalar Lisboa Central, Lisbon, Portugal
  • Susana Santos Paediatric Hematology Unit, Department of Women, Children and Adolescents, Hospital Dona Estefânia, Centro Hospitalar Lisboa Central, Lisbon, Portugal
  • Madalena Sassetti Department of Paediatrics, Hospital Garcia de Orta, Almada, Portugal
  • Sara Batalha Paediatric Hematology Unit, Department of Women, Children and Adolescents, Hospital Dona Estefânia, Centro Hospitalar Lisboa Central, Lisbon, Portugal
  • Raquel Maia Paediatric Hematology Unit, Department of Women, Children and Adolescents, Hospital Dona Estefânia, Centro Hospitalar Lisboa Central, Lisbon, Portugal
  • Rita Lopes da Silva Paediatric Neurology Unit, Department of Women, Children and Adolescents, Hospital Dona Estefânia, Centro Hospitalar Lisboa Central, Lisbon, Portugal
  • Paula Kjöllerstrom Paediatric Hematology Unit, Department of Women, Children and Adolescents, Hospital Dona Estefânia, Centro Hospitalar Lisboa Central, Lisbon, Portugal

Abstract

Mental nerve neuropathy is a peripheral sensory neuropathy, characterized by acute numbness of the chin area. It is a rare entity with diverse aetiology including, among others, local odontogenic causes and malignancy.

In rare cases, it might be associated with sickle cell disease, due to the combined presence of hyperviscosity and the sinuous course of the mental nerve and artery through the mental foramen. The authors present the case of an adolescent girl with numb chin symptoms during a multifocal sickle cell crisis. The aim is to briefly review the causes of numb chin syndrome, emphasizing the differential diagnosis in sickle cell patients.

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Published
2018-11-06
Section
Case reports