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Quintessence Publishing: Journals: OFPH
Journal of Oral & Facial Pain and Headache

Edited by Barry J. Sessle, BDS, MDS, BSc, PhD, FRSC

Official Journal of the American Academy of Orofacial Pain,
the European, Asian, and Ibero-Latin Academies of Craniomandibular
Disorders, and the Australian Academy of Orofacial Pain

ISSN 2333-0384 (print) • ISSN 2333-0376 (online)

Publication:
Fall 2010
Volume 24 , Issue 4

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Subacute Trismus in a Kidney Transplant Recipient

Britt Van Aken, MD/Wouter Meersseman, MD, PhD/Philippe Meersseman, MD/Raf Sciot, MD, PhD/Bert Bammens, MD, PhD/Dirk Kuypers, MD, PhD/Greet Hermans, MD, PhD

Pages: 412416
PMID: 21197514

This case report describes a male patient with trismus and generalized muscle weakness as the presenting symptom of disseminated malignancy. Trismus was caused by the presence of multiple small nests of undifferentiated tumor cells between muscle fibers of the masseter muscles as well as of other skeletal muscles. The diagnosis was suggested by increased uptake of 18-fluoro-deoxyglucose on positron emission tomography and subsequent ultrasound exami-nation. The primary tumor was not found on autopsy. The patient was at increased risk for malignancy due to his renal transplantation 16 years before. J OROFAC PAIN 2010;24:412416

Key words: malignancy, positron emission tomography, transplantation, trismus, weakness

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