Facial onset sensory and motor neuropathy in a pain clinic outpatient: a case report

Facial onset sensory and motor neuropathy in a pain clinic outpatient: a case report

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Abstract Background Facial onset sensory and motor neuropathy is a very rare sensorimotor disorder characterized by facial onset and gradual progression, with approximately 100 cases reported worldwide in 2020.We report on our experience with a facial onset sensory and motor neuropathy case booties in our outpatient pain clinic.Case presentation A 71-year-old Japanese man with a previous diagnosis of trigeminal nerve palsy complained of facial paresthesia, cervical pain, and arm numbness.Cervical facet arthropathy was diagnosed initially, but neither pharmacotherapy nor nerve blocking alleviated C his symptoms.We suspected bulbar palsy based on the presence of tongue fasciculation, which prompted referral to a neurologist.

Based on a series of neurological examinations, facial onset sensory and motor neuropathy was ultimately diagnosed.Conclusions Pain clinicians must be mindful of rare diseases such as facial onset sensory and motor neuropathy; if they are unable to make a diagnosis, they should consult with other competent specialists.