scholarly journals A novel method to treat recurrent facial pain: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Jintakorn Kuvatanasuchati ◽  
Karoon Leowsrisook
Keyword(s):  
Case Report ◽  
Trigeminal Neuralgia ◽  
Facial Pain ◽  
Case Presentation ◽  
Facial Movements ◽  
Novel Treatment ◽  
Effective Cost ◽  
Novel Method

Abstract Background Chronic facial pain is a serious condition affecting millions of people worldwide. The reasons for chronic facial pain vary, and currently, the methods of treating chronic facial pain are expensive, invasive, and, based on current findings, ineffective. The purpose of this study is to develop and test an effective, cost-friendly method to treat patients with chronic facial pain. This study will examine the effectiveness of a novel treatment of a patient suffering from trigeminal neuralgia. Case presentation A 70-year-old Thai female visited the advanced general dentistry clinic at the Faculty of Dentistry, Mahidol University, Bangkok, Thailand. She was suffering from facial pain on her left side and was diagnosed by a physician as having trigeminal neuralgia. She experienced a sharp shooting pain that was triggered by facial movements such as chewing, speaking, or brushing teeth, and touching certain areas of her face. Bouts of pain lasted from a few seconds to several minutes, and episodes of several attacks lasted days, weeks, months, or longer prior to her visit to the advanced general dentistry clinic at Mahidol University. Physician designed an occlusal equilibration appliance for treating the patient by inserting the appliance in the mouth for dental occlusal equilibration (deprogram). The patient used this appliance by placing it in the mouth continuously (day and night) and removed it only when eating. After using the appliance for 2 weeks, the patient appeared to feel and look better prior to taking medication and was able to eat normally. The patient was pain free after treatment for a duration of 9 months. However, after 9 months, the pain reoccurred and manifested itself. Conclusion This novel treatment of recurrent facial pain showed an improvement of the patient’s chronic facial pain and serves as evidence to being a novel method for treating those suffering from trigeminal neuralgia.

Idiopathic Trigeminal Neuralgia: A Case Report

2018 ◽  
Vol 31 (04) ◽  
pp. 254-258
Author(s):  
Shruti Jain ◽  
Chetna Lamba
Keyword(s):  
Case Report ◽  
Pain Relief ◽  
Trigeminal Neuralgia ◽  
Facial Pain ◽  
Conventional Medicine ◽  
Positive Role ◽  
Idiopathic Trigeminal Neuralgia ◽  
Adequate Pain Relief ◽  
The Face

AbstractTrigeminal neuralgia (TN) is the most frequent type of neuropathic facial pain affecting one or more branches of trigeminal nerve. Here, a 51-year-old woman diagnosed with idiopathic trigeminal neuralgia (ITN) presented with complaints of pain over right side of the face with redness of the eyes and excessive lachrymation since 5 years with weekly acute episodes of shooting pain. Chelidonium was chiefly prescribed followed by few doses of Spigelia as per indications which provided adequate pain relief. The complaints flared up following stressful circumstances for which Pulsatilla was prescribed after detailed case taking. The frequency, duration and intensity of pain reduced after homoeopathic treatment. The need for conventional medicine was also reduced. This suggests positive role of individualised homoeopathy in the treatment of ITN. Further studies should be undertaken to evaluate the role of homoeopathy in ITN.

scholarly journals Vertebrobasilar dolichoectasia as a cause of trigeminal neuralgia: the role of microvascular decompression. Case report

2006 ◽  
Vol 64 (1) ◽  
pp. 128-131 ◽  
Author(s):  
Jorge Luiz Kraemer ◽  
Arthur de Azambuja Pereira Filho ◽  
Gustavo de David ◽  
Mario de Barros Faria
Keyword(s):  
Computed Tomography ◽  
Case Report ◽  
Trigeminal Neuralgia ◽  
Microvascular Decompression ◽  
Facial Pain ◽  
Successful Outcome ◽  
Mechanical Compression ◽  
Suboccipital Craniotomy ◽  
Vertebrobasilar Dolichoectasia

Our purpose is to report a case of trigeminal neuralgia caused by vertebrobasilar dolichoectasia treated with microvascular decompression. A 63-year-old man sought treatment for a recurrent lancinating left facial pain in V2 and V3 trigeminal territories. The computed tomography angiography revealed a mechanical compression of the left trigeminal nerve due to vertebrobasilar dolichoectasia. The patient was submitted to a left suboccipital craniotomy. Shredded Teflon® was introduced in the conflicting neurovascular area, achieving a satisfactory decompression. The patient’s pain resolved immediately. Vertebrobasilar dolichoectasia is a rare cause of trigeminal neuralgia and a successful outcome can be achieved with microvascular decompression.

Trigeminal Neuralgia

2018 ◽  
pp. 257-266
Author(s):  
Radhika Grandhe ◽  
Eli Johnson Harris ◽  
Eugene Koshkin
Keyword(s):  
Neuropathic Pain ◽  
Trigeminal Neuralgia ◽  
Clinical Diagnosis ◽  
Facial Pain ◽  
Pharmacological Therapy ◽  
Surgical Decompression ◽  
Facial Movements ◽  
Classical Trigeminal Neuralgia ◽  
Neuropathic Pain Condition ◽  
Secondary Causes

Trigeminal neuralgia is a rare neuropathic pain condition but can be very disabling. The hallmark is brief episodes of intense, radiating pain within the territory of trigeminal nerve distribution. It is typically unilateral, often accompanied by facial spasms and can be triggered by facial movements in a majority of patients. Microvascular compression of trigeminal ganglion is the etiology for most patients with classical trigeminal neuralgia. Some patients can have continuous facial pain in addition to paroxysms of pain. Trigeminal neuralgia is a clinical diagnosis, but MRI is done to rule out secondary causes or to detect microvascular compression. Pharmacological therapy with first-line agents—carbamazepine or oxcarbazepine—is the preferred treatment. Patients with failed pharmacological therapy are considered for surgical decompression, ablation procedures, or Gamma Knife surgery.

Trigeminal Neuralgia Secondary to a Tentorial Ossification: A Case Report

Neurosurgery ◽  
1982 ◽  
Vol 11 (4) ◽  
pp. 527-529 ◽  
Author(s):  
Michael Standefer ◽  
Janet W. Bay ◽  
Donald F. Dohn
Keyword(s):  
Case Report ◽  
Trigeminal Neuralgia ◽  
Posterior Fossa ◽  
Trigeminal Nerve ◽  
Facial Pain ◽  
Atypical Facial Pain ◽  
Tic Douloureux ◽  
Sensory Root ◽  
Unusual Symptoms

Abstract The authors describe a patient who suffered from tic douloureux associated with atypical facial pain and tinnitus. All preoperative neurodiagnostic findings were normal. Posterior fossa exploration disclosed a tentorial ossification compressing the sensory root of the trigeminal nerve. Ossification within the tentorium and the implications of unusual symptoms associated with trigeminal neuralgia are discussed.

scholarly journals Central Pain Mimicking Trigeminal Neuralgia as a Result of Lateral Medullary Ischemic Stroke

2019 ◽  
Vol 2019 ◽  
pp. 1-3
Author(s):  
Abinayaa Ravichandran ◽  
Kareem S. Elsayed ◽  
Hussam A. Yacoub
Keyword(s):  
Ischemic Stroke ◽  
Case Report ◽  
Trigeminal Neuralgia ◽  
Trigeminal Nerve ◽  
Facial Pain ◽  
Central Pain ◽  
Lateral Medullary Infarction ◽  
Wallenberg Syndrome ◽  
Work Up ◽  
Medullary Infarction

Background. Central pain mimicking trigeminal neuralgia (TN) as a result of lateral medullary infarction or Wallenberg syndrome has been rarely reported. Case Report. We discuss a patient who presented with a lateral medullary infarct and shortly after developed facial pain mimicking TN. We also elaborate on the anatomical pathway of the trigeminal nerve explaining facial pain as a result of a lateral medullary lesion. Discussion. Clinicians should be aware of this typical complication of lateral medullary infarct in order to attain proper management and work-up.

scholarly journals Case Report: A Novel Solution to Penile Zipper Injury—The Needle Holder

2005 ◽  
Vol 5 ◽  
pp. 298-299 ◽  
Author(s):  
Philip A. McCann
Keyword(s):  
Case Report ◽  
Crush Injury ◽  
Adult Case ◽  
Needle Holder ◽  
Case Presentation ◽  
Treatment Methods ◽  
Small Needle ◽  
Novel Method ◽  
Number Of Treatment

Penile injuries are relatively uncommon[1]. The crush injury mediated by entrapment of the skin between the teeth and fastener of a zipper mechanism has been described[2,3]. It is seen more commonly in uncircumcised children than adults[4]. A number of treatment methods have been mentioned in the literature[5,6]. An adult case presentation and novel method of management using two small needle holders is illustrated.

scholarly journals A Case of Multiple Recurrences of Trigeminal Neuralgia: Attributed to Central Sensitization?

2021 ◽  
Author(s):  
Yuankun Cai ◽  
Xiuling Zhang ◽  
Xuan Dai ◽  
Songshan Chai ◽  
Bangkun Yang ◽  
...  
Keyword(s):  
Trigeminal Neuralgia ◽  
Central Sensitization ◽  
Facial Pain ◽  
Trigger Point ◽  
Trigger Points ◽  
Disease Development ◽  
Multiple Recurrence ◽  
Case Presentation ◽  
Multiple Recurrences ◽  
Surgical Treatments

Abstract Background Although many hypotheses about the pathogenesis of trigeminal neuralgia have been developed, there is little discussion about the multiple recurrences of trigeminal neuralgia. Case presentation Here we report a patient with refractory multiple recurrent trigeminal neuralgia, in which we accordingly found that an increase in facial pain trigger points and a rapid movement of the upper limb extremity could trigger an onset of trigeminal neuralgia. We offer hypothesis on the multiple recurrences of trigeminal neuralgia by explaining the cause of multiple trigger points in this patient. Conclusions Given that central sensitization is involved in a number of mechanisms of pain development and is associated with some of the symptoms of trigeminal neuralgia. We hypothesized that central sensitization may have been involved in the disease development of this case of refractory trigeminal neuralgia, which led to the development of trigger point generalization and multiple recurrence after surgical treatments.

Familial Trigeminal Neuralgia: Case Report

Neurosurgery ◽  
1989 ◽  
Vol 24 (5) ◽  
pp. 758-761 ◽  
Author(s):  
Douglas B. Kirkpatrick
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Trigeminal Neuralgia ◽  
Facial Pain ◽  
Middle Age ◽  
Genetic Significance ◽  
History Of ◽  
Classic Form ◽  
Genetic Clustering ◽  
Three Sisters

ABSTRACT Trigeminal neuralgia in its classic form is usually an isolated disease that occurs in sporadic fashion without epidemio-logical or genetic significance. This paper discusses a family with three nontwin sisters, all of whom have classic trigeminal neuralgia occurring in early middle age with symptoms severe enough to require medical and surgical treatment. These three sisters also have one aunt with a history of severe facial pain, although this has not been medically documented. Clustering of such cases in a given family has been reported before, but is rare. The pathophysiological implications of this genetic clustering are discussed.

scholarly journals Transdermal estradiol as a novel treatment for Peyronie's disease: A case report

2020 ◽  
Vol 10 (1) ◽  
pp. 37-39
Author(s):  
Jessie Thuswaldner
Keyword(s):  
Case Report ◽  
Peyronie’S Disease ◽  
Estradiol Treatment ◽  
Royal Hospital ◽  
Novel Treatment ◽  
Sex Drive ◽  
Transdermal Estradiol ◽  
Paraphilic Disorders ◽  
Peyronie's Disease ◽  
Novel Method

Introduction: This is a single‐patient case report of a (now) 75-year old married male with long-standing Peyronie’s disease (PD).  The patient’s main symptoms were painful erections as well as secondary anxiety and depression.  Resolution of these symptoms was achieved with transdermal estradiol treatment. Objectives: To describe a patient with PD, whose persistently painful erections and psychologic distress were eliminated by a novel treatment involving transdermal estradiol. This report also aims to present a novel treatment for patients with paraphilias. Methods: An interview with the patient, chart review, and a literature search were conducted. Informed consent was obtained from the patient and this report was approved by the Research Ethics Committee at the Royal Hospital in Ottawa. Results: Treatment with transdermal estradiol decreased the patient’s sex drive and virtually eliminated his erections with no undesirable side effects. The patient and his wife still enjoy sexual relations without the need for penile erection. Conclusions: This case report presents a novel treatment for PD. It also introduces a novel method to treat men who wish to decrease their sex drive (e.g. men with paraphilic disorders). Replication of this treatment intervention in men with PD and new studies of its use in men with paraphilic disorders are warranted.

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