Ganglion Cyst of the Temporomandibular Joint Mimicking Auriculotemporal Neuralgia

The Journal of Craniofacial Surgery
Gabriela Aguilo-Seara, Christopher Michael Runyan

Abstract

Ganglion cysts within the temporomandibular joint (TMJ), although uncommon, typically present with swelling, pain, trismus, and difficulty with mastication. The authors report an unusual case of a ganglion cyst in the TMJ of a 52-year-old man who presented with chief complaints of severe headaches and dizziness that had not subsided following treatment with medication, trigger point injections, or sphenopalatine ganglion blocks. The cyst appeared as a nonenhancing, T2 hyperdensity adjacent to the left TMJ condyle on magnetic resonance imaging, supported by the presence of chronic erosion and remodeling of the anterior aspect of the left condylar head on computed tomography. The cyst was surgically removed, and the patient reported that the migraines and accompanying dizziness had ceased 6 months postoperatively. The patient's presentation and improvement following surgery suggest that the location of the cyst in the TMJ and its proximity to the course of the auriculotemporal nerve may have caused auriculotemporal neuralgia, mimicking the symptoms of migraine.

References

Jun 1, 1996·Journal of Oral and Maxillofacial Surgery : Official Journal of the American Association of Oral and Maxillofacial Surgeons·C E BonacciH A Israel
Dec 29, 2004·The British Journal of Oral & Maxillofacial Surgery·Edgard Carvalho SilvaRicardo Santiago Gomez
Nov 15, 2014·Archives of Plastic Surgery·Young Taek LeeSeung Chul Rhee
Oct 27, 2015·Plastic and Reconstructive Surgery. Global Open·M Willemijn Steen, Diederik J Hofstede
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Apr 23, 2017·Current Pain and Headache Reports·Jeffrey MojicaAndrew Ng

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