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Mental Nerve Block

  • Siddharth Chavali
  • Girija Prasad Rath
Chapter

Abstract

Mental nerve neuralgia is a painful disorder in the distribution of the mental nerve. The first description of mental nerve neuropathy was given by Charles Bell in 1830, who reported the phenomenon in a patient with advanced breast cancer due to a bony metastasis in her left mandible [1]. Mental nerve neuropathy, which has also been called Numb Chin Syndrome is a purely sensory neuropathy identified by paraesthesia or numbness in the lower lip and chin. The clinical presentations are paraesthesia (tingling/burning/pins and needles) localised to a discrete area of the lower maxillary/mandibular region of the face, patients experiences a numb/swollen lower lip, loss of sensitivity may lead to inadvertent biting, or injury to the lower lip, symptoms are predominantly unilateral; however bilateral symptoms may also be present [2].

References

  1. 1.
    Furukawa T. Charles Bell’s description of numb chin syndrome. Neurology. 1988;38:331.CrossRefGoogle Scholar
  2. 2.
    Laurencet FM, Anchisi S, Tullen E, Dietrich PY. Mental neuropathy: report of five cases and review of the literature. Crit Rev Oncol Hematol. 2000;34:71–9.CrossRefGoogle Scholar
  3. 3.
    Di Lenarda R, Cadenaro M, Stacchi C. Paresthesia of the mental nerve induced by periapical infection: a case report. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2000;90:746–9.CrossRefGoogle Scholar
  4. 4.
    Requena A, Riera-Mestre A, Formiga F, Vidaller A, Pujol R. Metastatic prostate carcinoma presenting as numb chin syndrome in elderly people. J Am Geriatr Soc. 2008;56:581–2.CrossRefGoogle Scholar
  5. 5.
    Sasaki M, Yamazaki H, Aoki T, Ota Y, Sekiya R, Kaneko A. Bilateral numb chin syndrome leading to a diagnosis of Burkitt’s cell acute lymphocytic leukemia: a case report and literature review. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2011;111:e11–6.CrossRefGoogle Scholar
  6. 6.
    Zadik Y, Benoliel R, Fleissig Y, Casap N. Painful trigeminal neuropathy induced by oral bisphosphonate-related osteonecrosis of the jaw: a new etiology for the numb-chin syndrome. Quintessence Int Berl Ger. 2012;1985(43):97–104.Google Scholar
  7. 7.
    Gupta S, Soni JS. Study of anatomical variations and incidence of mental foramen and accessory mental foramen in dry human mandibles. Natl J Med Res. 2012;2:28–30.Google Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  • Siddharth Chavali
    • 1
  • Girija Prasad Rath
    • 1
  1. 1.Department of Neuroanaesthesiology and Critical Care Neurosciences CentreAll India Institute of Medical SciencesNew DelhiIndia

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