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Article: Volume 41 Number 7 Page 624 - September 2014

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  Dent Update 2014; 41: 624-627

Case report:  Intracranial Meningioma as a Cause of Orofacial Paraesthesia: A Case Report

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Abstract: Meningiomas are the most common benign intracranial tumour and show a rising incidence with age. They present with a wide array of symptoms and, in this paper, we discuss a case report of an intracranial meningioma presenting as paraesthesia of the lower left lip and chin region. Coincidentally, the symptoms manifested soon after a course of routine dental treatment, further complicating the diagnosis of the lesion. This case highlights the importance, to clinicians at all levels, of the wide array of causes of nerve paraesthesia within the orofacial region and how less frequently occurring conditions must be considered at an early stage.

Clinical relevance: Intracranial lesions should be included in the differential diagnosis of paraesthesia or anaesthesia of a localized area.

Author notes: Anish Patel, BDS(Lond), MJDF RCS(Eng), DipImpDent(Eastman), Implantologist in General Dental Practice, Senior House Officer, Oral and Maxillofacial Surgery, Vaidayanathan Murugaraj, BDS, MFDS RCS, FFD RCS1(Oral surg Oral med), Specialty Doctor, Oral and Maxillofacial Surgery and Mohan Patel, BDS, MBBS, FDS RCS, LLM, Consultant Oral and Maxillofacial Surgeon, Oral and Maxillofacial Department, Royal Berkshire Hospital, Reading, RG1 5AN, UK.

Objective: To highlight the importance of the causes of nerve paraesthesia within the orofacial region.