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Year : 2017  |  Volume : 23  |  Issue : 1  |  Page : 59-62

A rare case of bilateral trigeminal palsy presenting as a complication of Sjogren syndrome

1 A&E, University Hospital of South Manchester, Manchester, UK
2 Department of Neurology, Shifa International Hospital, Islamabad, Pakistan
3 Department of Pulmonology, University Hospital of South Manchester, Manchester, UK

Correspondence Address:
Faleha Zafar
Department of Neurology, Shifa International Hospital, H-8/4, Islamabad, 44000
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/kamj.kamj_57_16

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Sjogren syndrome is a chronic disorder affecting the exocrine glands of the body, mostly lacrimal and salivary glands, resulting in sicca symptoms. Diagnosis is aided by the presence of anti-Ro and anti-La antibodies and gland biopsy showing lymphocytic infiltration. Bilateral loss of facial sensation in Sjogren syndrome (SS) has not been reported before, although unilateral trigeminal palsy as a presentation of SS has been reported in literature. A 25-year-old lady presented in the neurology clinic with complete facial numbness and vision loss for 1 month. The vision worsened, leading to complete blindness. She had dry mouth and dry eyes for the past 3 months. She was diagnosed with SS using American–European consensus Sjogren criteria. Electrophysiological blink reflex testing confirmed complete trigeminal nerve palsy. SS was treated with prednisolone, 1 mg/kg/day, with a poor response. Symptomatic treatment was given for sicca symptoms, which improved significantly. Corneal transplantation was done for visual loss, but limited improvement was seen.

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