A Case Report of Trigeminal Neuralgia after Taking Bromocriptine

Document Type : Case Report

Author

Assistant Professor, Department of Neurology, School of Medicine, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran

Abstract

Background: There is only one case reported about trigeminal neuralgia as a complication of taking of bromocriptin without any stractural abnormality. In this study we have introduced a new case with trigeminal neuralgia after taking bromocriptin.Case Report: The patient is a 55-year-old man, suffer from several attacks of neuralgic pain in right side of his face following forth-days taking of bromocriptin for post stroke aphasia treatment. His neuralagic pain increased with increasing the bromocriptin dosage. The serologic laboratory data and brain MRI were normal.Finding: After decreasing the bromocriptin dosage his pain was gradually decreased and finally resolved at the end. According to these findings and patient's history the trigeminal neuralgia was recommended as a rare side effect of bromocriptin and it is the second case report of this side effect in the world.Conclusion: It seems there is more need to investigation about the role of dopamin in enhancing this kind of neuralgia.

Keywords

References

  1. Ferrari MD, Haan J, van Seters AP. Bromocriptine-induced trigeminal neuralgia attacks in a patient with a pituitary tumor. Neurology 1988; 38(9): 1482-4.
  2. Albert ML, Bachman DL, Morgan A, Helm-Estabrooks N. Pharmacotherapy for aphasia. Neurology 1988; 38(6): 877-9.
  3. Park JH, Park GY, Im S, Yoo SH, Jun J, Kwon JO, et al. Trigeminal neuralgia after bromocriptine therapy in a stroke patient: A case report. J Korean Acad Rehabil Med 2010; 34(6): 777-80.
  4. Bachman DL, Morgan A. The role of pharmacotherapy in the treatment of aphasia: Preliminary results. Aphasiology 1988; 2: 225-8.
  5. Albert ML. Treatment of aphasia. Arch Neurol 1998; 55(11): 1417-9.
  6. Tan LC, Ng KK, Au WL, Lee RK, Chan YH, Tan NC. Bromocriptine use and the risk of valvular heart disease. Mov Disord 2009; 24(3): 344-9.
  7. Zakrzewska JM. Diagnosis and differential diagnosis of trigeminal neuralgia. Clin J Pain 2002; 18(1): 14-21.
  8. The International Classification of Headache Disorders: 2nd edition. Cephalalgia 2004; 24(Suppl 1): 9-160.
  9. Siccoli MM, Bassetti CL, Sandor PS. Facial pain: clinical differential diagnosis. Lancet Neurol 2006; 5(3): 257-67.
  10. Sicuteri F. Dopamine, the second putative protagonist in headache. Headache 1977; 17(3): 129-31.
  11. Matharu MS, Levy MJ, Merry RT, Goadsby PJ. SUNCT syndrome secondary to prolactinoma. J Neurol Neurosurg Psychiatry 2003; 74(11): 1590-2.
Journal of Isfahan Medical School
Volume 29, Issue 141 - Serial Number 141
May and June 2011
Pages 686-694

Files

History

  • Receive Date: 12 June 2011
  • Revise Date: 01 June 2024
  • Accept Date: 06 April 2022

Share

How to cite

Statistics