A Case of Numb-Chin Syndrome Assoicated with Hodgkin

J Korean Neurol Assoc > Volume 18(3); 2000 > Article

Journal of the Korean Neurological Association 2000;18(3): 372-374.

호즈킨병에 동반된 턱저림 증후군 1예

서만욱 김지성 고광석 오병철 양윤정 임창열*황호경, 서만욱 김지성 고광석 오병철 양윤정 임창열*황호경

전북대학교 의과대학 신경과학교실,내과학교실*,방사선과학교실

A Case of Numb-Chin Syndrome Assoicated with Hodgkin

Man-Wook Seo, M.D., Ji-Sung Kim, M.D., Kwang-Seok Ko, M.D., Byung Cheol Oh, M.D., Yun-Jeong Yang, M.D., Chang-Yeol Im, M.D.*, Ho-Kyeong Whang, M.D. †

, Chonbuk National University Medical ScDepartment of Neurology, Internal Medicine*, Radiology

Abstract

The numb chin syndrome (NCS) is characterized by chin or lower lip numbness restricted to the distribution of the mental nerve (the distal trigeminal nerve). The authors report a patient whose initial symptom of tumor recurrence was unilateral numbness of the chin. A 65-year-old male was admitted because of paresthesia around the left chin and left lower lip. Neurologic examination revealed hypesthesia on the left side of chin, lower lip and buccal mucous mem-brane. Bone scan (Tc-99m MDP) showed focal hot uptakes on the left mandible and left first rib. Brain CT with bone window setting showed a focal osteolytic lesion in the bone marrow of the left mandibular canal without destruction of bone cortex. Both coronal T1 weighted image and axial T2 weighted image showed focal low signal intensities on the left ramus. The pathophysiologic mechanism could be understood by identification of the pathologic focus. J Korean Neurol Assoc 18(3):372~374, 2000 Key Words : Numb chin syndrome, Hodgkin