scholarly journals Garlic Burn in a Patient with Trigeminal Neuralgia: A Case Report

2010 ◽  
Vol 04 (01) ◽  
pp. 088-090 ◽  
Author(s):  
H Huseyin Yilmaz ◽  
Ozlem Gormez ◽  
Esin Hastar ◽  
Derya Yildirim ◽  
Muge Cina Aksoy
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Trigeminal Neuralgia ◽  
Alternative Treatment ◽  
Severe Pain ◽  
Herbal Remedies ◽  
Treatment Methods ◽  
Glycerol Injection ◽  
Patient Reported ◽  
Oral And Maxillofacial Surgeon

ABSTRACTGarlic is an herb which has been used by many cultures for treating various health problems for centuries. Uncontrolled use of herbal remedies, known as alternative treatment methods, may lead to side effects and serious treatment complications. This study aimed to draw attention to complications related to alternative treatment methods and to review the literature in the light of this case.A female patient who had been treated for trigeminal neuralgia was admitted to our clinic complaining of severe pain on the left side of her face. In anamnesis, the patient reported that she had applied garlic topically to this region. Extraoral examination revealed a broad cutaneous burn on the same region. According to a dermatology consultation, a treatment for cutaneous burns was applied and severe trigeminal neuralgia pain was eliminated with glycerol injection by an oral and maxillofacial surgeon. (Eur J Dent 2010;4:88-90)

Management of Vipadika with Mahisha Gritha Padanimajjana – a case report

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Sharanya Suseela ◽  
Anandaraman Puthanmadom Venkatraramana Sharma ◽  
Kesavan Parameswaran Namboothiri ◽  
Prathibha Changuli Krishna Bhat
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Effective Treatment ◽  
Skin Disorder ◽  
Severe Pain ◽  
Case Presentation ◽  
Treatment Methods ◽  
Treatment Line ◽  
Short Period ◽  
Ayurvedic Treatment

Abstract Objectives Vipadika (Palmo plantar Psoriasis) is a Kshudra Kushta (minor skin disorder) of Vatakapha origin (body humors like vata and kapha) characterized by Sphutana (cracks) and Teevra Vedana (severe pain) in Pani (palm) and Pada (sole). Based on the symptoms it can be correlated to Palmo Plantar Psoriasis which is a variant of psoriasis which affects the skin of the palms and soles with the features of hyperkeratotic, pustular, or mixed morphologies. The treatment methods for Palmo plantor psoriasis causes severe side effects due to which an evident shift from modern treatments to ayurvedic treatment line. Case presentation A 15 year old, female, with complaint of cracks and dryness over sole of both feet with pain for the last 12 and half years. The case was managed with Padanimajjana (immersion of foot). Padanimajjana is a modified form of Avagaha Sweda (switz bath) where the affected part of the foot is dipped in medicated liquid. Here Mahisha Gritha (Buffaloe ghee) is used for Padanimajjana. Conclusions Mahisha Gritha Padanimajjana shows significant improvement in number of cracks, dryness and pain within short period of time. This is a very simple, economical, and effective treatment for Vipadika.

scholarly journals Successful mechanical thrombectomy in a comatose patient with cerebral venous sinus thrombosis: A case report

2017 ◽  
Vol 23 (4) ◽  
pp. 437-440 ◽  
Author(s):  
Merel JJ Verhagen ◽  
Adriaan CGM van Es ◽  
Geert J Lycklama à Nijeholt ◽  
Korné Jellema ◽  
Jonathan Coutinho ◽  
...  
Keyword(s):  
Case Report ◽  
Alternative Treatment ◽  
Mechanical Thrombectomy ◽  
Sinus Thrombosis ◽  
Cerebral Venous Sinus Thrombosis ◽  
Venous Sinus ◽  
Comatose Patient ◽  
Unfavourable Outcome ◽  
Treatment Methods ◽  
Venous Sinus Thrombosis

Cerebral venous sinus thrombosis is a rare cause of stroke, which is routinely treated with systemic heparin. Unfavourable outcome is often seen in severe cases. Therefore alternative treatment methods should be explored in these patients. Due to the risk of haemorrhagic complications, treatment without administration of thrombolytics is of particular interest. This report presents a case of successful mechanical thrombectomy, without the use of thrombolytics, in a comatose patient with cerebral venous sinus thrombosis.

scholarly journals Hemisensory paresthesia as the initial symptom of a SARS-Coronavirus-2 infection. A Case report.

2020 ◽  
Author(s):  
Myriam Herrnberger ◽  
Nadine Durmazel ◽  
Frank Birklein
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Viral Infection ◽  
Viral Infections ◽  
Neurological Symptoms ◽  
Initial Symptom ◽  
Mild Disease ◽  
Initial Symptoms ◽  
Patient Reported ◽  
Neurological Presentation

Abstract Neurological symptoms might be associated with a Covid-19 infection. There are frequent reports in the last weeks. The neurological symptoms range from harmless side effects of a viral infection to meningoencephalitis and acute haemorrhagic necrotizing encephalopathy.Our patient reported burning headache and paresthesia as the initial symptoms mainly without other signs of viral infection like cough or fever. Such an initial neurological presentation seems to be rare. Most cases have neurological symptoms which can be expected after severe systemic viral infections like fever associated headache. Many COVID-19 patients with mild disease are at home and the further course is unknown. Our case shows, that neurological symptoms can be the first manifestation of an COVID-19 disease. While restricted paraesthesia has been reported in SARS-CoV-2 infections, hemisymptoms have not been described as initial symptoms.

Lamotrigine in Therapy of Patient with Posttraumatic Stress Disorder: Case Report

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1
Author(s):  
O. Kozumplik ◽  
S. Uzun ◽  
M. Jakovljevic
Keyword(s):  
Case Report ◽  
Side Effects ◽  
Stress Disorder ◽  
Hospital Treatment ◽  
Continuous Therapy ◽  
Patient Reported ◽  
Dsm Iv ◽  
Waking Up ◽  
In The Beginning ◽  
Recommended Therapy

Patient N-V, with diagnose of PTSD according to DSM-IV-TR, was hospitalized in Vrapce Psychiatric Hospital, Zagreb, during 2008. At admission he reported tension, anxiety, irritability, need for isolation form other people, insomnia and nightmares. He said he was waking up almost every night because of nightmares.In the beginning of hospital treatment lamotrigine was introduced in therapy, in daily dosage of 25 mg, along with diazepam 10 mg daily and zolpidem 10 mg in the evening. After three days the daily dosage of lamotrigine was elevated to 50 mg. No side effects of treatment were observed and the daily dosage of lamotrigine was elevated to 100 mg after six days and again on 200 mg after ten days of continuous therapy with lamotrigine. The patient reported improvement of sleep - he said he the nightmares were less frequent and he did not wake up as often as before. Also, during second week of treatment he became less tensed. After three weeks of treatment he became even more relaxed and less irritable. Also, he became more active and able to endure conversation. Initial insomnia was reduced, and he was waking up only occasionally during night. The patient was discharged from hospital after six weeks of treatment. Recommended therapy at discharge was lamotrigine in daily dosage of 200 mg, 10 mg of zolpidem in the evening, and diazepam 5 mg in case of tension.

scholarly journals The effectiveness of sphenopalatine ganglion blockade in chronic migraine resistant to medical treatment

2021 ◽  
Vol 26 (4) ◽  
pp. 737-741
Author(s):  
Nermin Tepe ◽  
Oktay Faysal Tertemiz
Keyword(s):  
Side Effects ◽  
Medical Treatment ◽  
Chronic Migraine ◽  
Alternative Treatment ◽  
Conventional Therapy ◽  
Rating Scale ◽  
Numerical Rating Scale ◽  
Sphenopalatine Ganglion ◽  
Treatment Methods ◽  
Numerical Rating

Objective: To assess the effectiveness of sphenopalatine ganglion blockade (SPGB) as an alternative treatment for patients with chronic migraine resistant to medical treatment. Methods: In total, 23 patients with chronic migraine resistant to medical treatment underwent 4 sessions of bilateral transnasal SPGB bi-weekly, and the monthly number of headache days, duration, and numerical rating scale (NRS) response results were recorded. Results: Compared with before SPGB, the frequency of migraine attacks per month (23.66 ± 9.8 vs. 10.5 ± 11.9 days), duration of headaches (31.3 ± 16.8 vs. 18.4 ± 9.8 h), and NRS score (9 ± 0.99 vs. 5.1 ± 2.1) all improved significantly (p < 0.05) eight weeks after intervention. Conclusion: Transnasal SPGB is an alternative to conventional therapy because it benefits patients with chronic migraine resistant to medical treatment, is easy to administer, and has few side effects.

scholarly journals Dyspareunia of Nonorganic Origin, Phobic Variant: Case Report

2020 ◽  
Keyword(s):  
Case Report ◽  
Female Patient ◽  
Complete Resolution ◽  
Severe Pain ◽  
Common Law ◽  
Medical Advice ◽  
Religious Organization ◽  
Therapeutic Result ◽  
Patient Reported ◽  
Cognitive Techniques

The article describes a case with a 22-year-old female patient, who had been in a “common-law marriage” with a 29-year-old man during 7 months. When she sought medical advice the patient informed that she remained a virgin. She associated it with tough upbringing and a hard set that one must not live a sex life before marriage. From 6 to 16 years of her life the patient and her mother were members of the international religious organization “Jehovah’s Witnesses”, where the above set exists. Besides, her mother told the patient that one could engage in sexual intercourses only after registration of marriage, and those girls who allowed themselves to do it before marriage were prostitutes. The patient reported that an attempt to make coitus caused “a spasm of muscles in my vagina” and a severe pain, and for that reason the man could not “enter” her. Before such an attempt the following thoughts appeared: “It is not allowed before marriage, because it will be regarded as adultery. God will be against it”. But a strong desire to make coitus existed. She made a point that she was afraid of a severe pain and haemorrhage that might appear in coitus (she saw twice some porn, where defloration was made hard, resulting in fixation of some fear in her). She believed that the above was still producing its effect on her. At first I thought that the patient had vaginismus of non-organic origin caused by psychogenic inhibiting effects and coitophobia. But later, having drawn an analogy with contraction of muscles during orgasm, I concluded that she did not have the above contraction while attempting to make coitus, but an obstacle to perform it was caused by a pain that developed at attempt of introjection and made her squeeze her legs together, thereby imitating the result of contraction of muscles involved in vaginismus. Therefore the diagnosis of “dyspareunia of non-organic origin, the phobic variant” was made. The following treatment was provided: different cognitive techniques, hypnosuggestive therapy (2 sessions). Recommendations for optimizing the performance of coitus were given. An immediate therapeutic result was achieved with complete resolution of the above problem.

scholarly journals Successful Endovascular Treatment of Trigeminal Neuralgia Caused by a Carotid-Cavernous Fistula: Case Report

2021 ◽  
Author(s):  
Luciano Bambini Manzato ◽  
José Ricardo Vanzin ◽  
Octávio Ruschel Karam ◽  
Artur Eduardo Martio ◽  
Victor Emanuel Angeliero ◽  
...  
Keyword(s):  
Case Report ◽  
Trigeminal Neuralgia ◽  
Cavernous Sinus ◽  
Cranial Nerves ◽  
External Carotid Artery ◽  
External Carotid ◽  
Conjunctival Hyperemia ◽  
Arteriovenous Fistulas ◽  
Ocular Symptoms ◽  
Patient Reported

Context: Dural arteriovenous fistulas (DAVFs) of the cavernous sinus are arteriovenous connections located in the dura mater leaflets of this region. DAVFs usually present with ocular symptoms such as diplopia, conjunctival hyperemia, involvement of cranial nerves III/IV/VI, etc. Trigeminal neuralgia caused by a cavernous DAVF is rare, being reported only three times in the literature. Case report: A 46-year-old female smoker sought care with a complaint of multiple daily episodes of shock-like right temporal headache and facial pain in the V1/V2 dermatomes, of 2 years’ duration. A clinical diagnosis of trigeminal neuralgia was established. Magnetic resonance (MR) imaging of the brain and MR angiography of the cerebral and cervical vessels were both normal. Conservative treatment and balloon compression of the trigeminal ganglion were ineffective. Therefore, we chose to perform an angiography for diagnostic clarification, which demonstrated a DAVF of the right cavernous sinus, fed by branches of the external carotid artery. We decided to catheterize the fistula and complete obliteration was achieved. Soon after the procedure the patient reported pain relief. At 3-month follow-up the patient remained pain free and required no analgesia. Conclusion: Trigeminal neuralgia caused by a cavernous DAVF is rare. The fistula in this case was only diagnosed after an angiography was performed, so clinicians must be aware that not all vascular conditions can be identified non invasively, and that cavernous DAVFs may be an underdiagnosed cause of trigeminal neuralgia.

scholarly journals Secondary Trigeminal Neuralgia: a Case Report and Literature Review of Red Flags

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Khawaja Shehryar Nasir ◽  
Muhammad Atif Naveed
Keyword(s):  
Brain Tumor ◽  
Case Report ◽  
Trigeminal Neuralgia ◽  
Motor Nerve ◽  
Classification Systems ◽  
Temporal Region ◽  
Stereotactic Radiation ◽  
Patient Reported ◽  
Diagnostic Work ◽  
The Brain

Introduction: Trigeminal neuralgia (TN) is characterized by recurrent paroxysmal brief episodes of electric shock-like pain along the trigeminal nerve distribution. Based on the underlying cause, current classification systems have classified TN into idiopathic, classical, and secondary TN. This manuscript presents a case report of a patient seen in the clinic with features of trigeminal neuralgia secondary to an intracranial lesion. Case description: A 39-year-old female presented to the clinic with a 15-month history of severe, intermittent, short-lasting episodes of pain affecting the left lower teeth, jaw, nose, and temporal region. The patient reported familiar shock-like pain during the physical examination when the skin of the left ala of the nose was lightly touched. The rest of the clinical examination was non-significant. The magnetic resonance imaging of the brain showed an approximately 20 mm wide lesion at the level of the cerebellopontine angle. After subsequent tests, the lesion was diagnosed as meningioma, and the patient was treated with stereotactic radiation therapy. Practical Implications: In up to 10 % of TN cases, the underlying cause can be due to a brain tumor. Although persistent pain, sensory or motor nerve dysfunction, gait disturbances, and other neurological signs may concurrently exist, raising a red flag for intracranial pathology, patients often present with pain alone as the heralding symptom of a brain tumor. Due to this, it is imperative that all patients suspected of having TN undergo an MRI of the brain as part of the diagnostic work-up.

scholarly journals Treatment of trigeminal neuralgia with low doses of topiramate

2007 ◽  
Vol 65 (3b) ◽  
pp. 792-794 ◽  
Author(s):  
Renan Barros Domingues ◽  
Gustavo Wruck Kuster ◽  
Camila Catherine Henriques Aquino
Keyword(s):  
Weight Loss ◽  
Side Effects ◽  
Trigeminal Neuralgia ◽  
Clinical Response ◽  
Antiepileptic Drugs ◽  
Alternative Treatment ◽  
Symptomatic Therapy ◽  
Low Doses ◽  
Moderate Improvement ◽  
Classical Trigeminal Neuralgia

Topiramate was administered to eight patients with classical trigeminal neuralgia with or without previous symptomatic therapy with other antiepileptic drugs. The topiramate doses ranged from 50 to 100 mg a day, according to the clinical response and the reported side effects. Three patients had complete symptoms remission, three reported moderate improvement, and the treatment was not effective in two. The most frequently registered side effects were dizziness, somnolence and weight loss. Topiramate can be considered an alternative treatment for patients with trigeminal neuralgia.

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