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2023

ANUÁRIO DO HOSPITAL
DONA ESTEFÂNIA

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MENTAL NERVE NEUROPATHY: A RARE MANIFESTATION IN SICKLE CELL DISEASE

Margarida Alcafache1, Susana Santos1, Madalena Sasseti2, Sara Batalha1, Raquel Maia1, Rita Lopes da Silva3, Paula Kjöllerstrom1

1 - Unidade de Hematologia Pediátrica, Área da Mulher, Criança e Adolescente - Hospital Dona Estefânia, Centro Hospitalar Universitário Lisboa Central EPE
2 - Serviço de Pediatria – Hospital Garcia de Orta EPE
3 - Unidade de Neurologia Pediátrica, Área da Mulher, Criança e Adolescente - Hospital Dona Estefânia, Centro Hospitalar Universitário Lisboa Central EPE

- Publicação Port J Pediatr 2018;49:357-9

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.

Palavras Chave: adolescent; sickle cell anemia; cranial nerve disease