Diagnosis and Treatment of Atypical Odontalgia: A Review of the Literature and Two Case Reports

2007 ◽  
Vol 8 (3) ◽  
pp. 81-89 ◽  
Author(s):  
Marcello Melis ◽  
Simona Secci

Abstract Aim This report presents two cases diagnosed with atypical odontalgia (AO) and successfully treated with amitriptyline as well providing a review of the current literature on the subject. Results The literature indicates the most important issue is an accurate differential diagnosis to distinguish between AO, pulpal pain, myofascial pain, and trigeminal neuralgia. Conclusion Once the correct diagnosis is made the prognosis of AO is usually fair and the administration of tricyclic antidepressants often resolves symptoms. An effort should be made to avoid any unnecessary dental treatment that would only aggravate the problem. Citation Melis M, Secci S. Diagnosis and Treatment of Atypical Odontalgia: A Review of the Literature and Two Case Reports. J Contemp Dent Pract 2007 March;(8)3:081-089.

PEDIATRICS ◽  
1996 ◽  
Vol 98 (3) ◽  
pp. 461-463
Author(s):  
Gary L. Darmstadt

Genital warts are common relative to other verrucous lesions of the anogenital region. Consideration of the differential diagnosis of verrucous anogenital lesions is necessary, however, to make a correct diagnosis consistently and to avoid futile, painful, and possibly traumatic attempts at treatment. In this report, I describe a child with a history suspicious for sexual abuse who was treated with inappropriate measures because of misdiagnosis of perianal lymphangioma circumscriptum as genital warts. The pathogenesis, differential diagnosis, and treatment of lymphangioma is presented. CASE REPORT A 5-year-old Hispanic boy was referred by his pediatrician to the Dermatology Service with an eruption of red papules on the left buttock and perianal region.


2006 ◽  
Vol 130 (7) ◽  
pp. 1049-1052
Author(s):  
Sameer S. Talwalkar ◽  
Saad Paul Shaheen

Abstract Myelolipoma most commonly arises in the adrenal gland. Extra-adrenal myelolipomas are rare; to our knowledge, approximately 37 previous cases have been reported. We report a myelolipoma presenting as a localized mass in perirenal adipose tissue juxtaposed to the renal hilum in a 65-year-old Caucasian man who presented with back pain, weight loss, hematuria, and flank pain. The most likely diagnostic considerations were pyelonephritis or primary renal malignancy. However, histology revealed mainly mature adipose tissue along with multiple scattered islands of hematopoietic precursor cells. Representation of all the three hematopoietic cell lineages (granulocytic, erythroid, and megakaryocytic) was present. Perirenal masses such as morphologically identified myelolipomas are rarely, if ever, considered in differential diagnosis. The purpose of this report is to elicit consideration of extra-adrenal myelolipoma when formulating a differential diagnosis for perirenal and retroperitoneal tumors. Although primary and secondary malignant retroperitoneal tumors are much more common and aggressive neoplasms, establishing the correct diagnosis has important therapeutic and prognostic implications.


2010 ◽  
Vol 128 (4) ◽  
pp. 232-235 ◽  
Author(s):  
Alexandre de Andrade Sousa ◽  
João Marcos Arantes Soares ◽  
Marco Homero de Sá Santos ◽  
Marcelo Portes Rocha Martins ◽  
José Maria Porcaro Salles

CONTEXT: Kikuchi-Fujimoto disease (KFD) manifests in most cases as unilateral cervical lymphadenomegaly, with or without accompanying fever. The disease mainly affects young women and has a self-limited course. It is more common in oriental countries, with few reports of its occurrence in Brazil. KFD should be included in the differential diagnosis of suspected cases of viral infections, tuberculosis, reactive lymphadenitis, systemic lupus erythematosus and metastatic diseases. It can be histologically confused with lymphoma. The disease is benign and self-limiting and an excisional biopsy of an affected lymph node is necessary for diagnosis. There is no specific therapy. CASE REPORTS: This study reports on three cases of non-Asian female patients with KFD who were attended at our service between 2003 and 2006. A review of the literature was carried out, with a systematic search on this topic, with the aim of informing physicians about this entity that is manifested by cervical masses and fever.


2017 ◽  
pp. 16-27
Author(s):  
N. Yu. Kashtanova ◽  
I. I. Pyatkova

Paragangliomas of the head and neck are extremely rare tumors. During the period of professional activity, a radiologist can meet single patients with parangliomas. So it is important to know the main diagnostic signs when meeting with such patients, вecause on-time diagnosis and treatment contribute to reduce surgical risk. The purpose of this review is to study the most common localizations of paragangliomas of head and neck and describe main visualization characteristics which are necessary for correct diagnosis and differential diagnosis.


1987 ◽  
Vol 28 (4) ◽  
pp. 457-459 ◽  
Author(s):  
H. J. Aronen ◽  
M. Pamilo ◽  
H. T. Suoranta ◽  
I. Suramo

The lower extremities of 60 consecutive symptomatic patients were examined first by ultrasound (US) and then by phlebography. Deep venous thrombosis was found in 17 patients by means of venography. A hematoma was detected by US in six legs without thrombosis. A popliteal cyst was observed by US in five cases; one patient had a concurrent deep venous thrombosis. It was concluded that symptomatic patients with a negative phlebography should be examined by US for correct diagnosis and treatment, although US cannot replace phlebography.


Neurosurgery ◽  
1990 ◽  
Vol 26 (2) ◽  
pp. 339-344 ◽  
Author(s):  
Francesco Nucci ◽  
Marco Artico ◽  
Antonio Santoro ◽  
Lia Bardella ◽  
Roberto Delfini ◽  
...  

Abstract We report two cases of peroneal nerve compression caused by an intraneural synovial cyst and discuss the pathogenesis. clinical and electrophysiological diagnosis, and treatment of these uncommon lesions in the light of the salient published work on the subject.


2017 ◽  
Vol 25 (1) ◽  
pp. 52-54 ◽  
Author(s):  
MARCO AURÉLIO DE MORAES ◽  
RUBENS GUILHERME GONÇALVES ◽  
JOÃO BAPTISTA GOMES DOS SANTOS ◽  
JOÃO CARLOS BELLOTI ◽  
FLÁVIO FALOPPA ◽  
...  

ABSTRACT Compressive syndromes of the radial nerve have different presentations. There is no consensus on diagnostic and therapeutic methods. The aim of this review is to summarize such methods. Eletronic searches related terms, held in databases (1980-2016): Pubmed (via Medline), Lilacs (via Scielo) and Google Scholar. Through pre-defined protocol, we identified relevant studies. We excluded case reports. Aspects of diagnosis and treatment were synthesized for analysis and tables. Quantitative analyzes were followed by their dispersion variables. Fourteen studies were included. All studies were considered as level IV evidence. Most studies consider aspects of clinical history and provocative maneuvers. There is no consensus on the use of electromyography, and methods are heterogeneous. Studies have shown that surgical treatment (muscle release and neurolysis) has variable success rate, ranging from 20 to 96.5%. Some studies applied self reported scores, though the heterogeneity of the population does not allow inferential analyzes on the subject. few complications reported. Most studies consider the diagnosis of compressive radial nerve syndromes essentially clinical. The most common treatment was combined muscle release and neurolysis, with heterogeneous results. There is a need for comparative studies . Level of Evidence III, Systematic Review.


CNS Spectrums ◽  
1998 ◽  
Vol 3 (2) ◽  
pp. 57-61 ◽  
Author(s):  
Brendan T. Carroll ◽  
Harold W. Goforth ◽  
Nashaat N. Boutros ◽  
Theodore J. Anfinson ◽  
Lisa Werner

AbstractIn an effort to aid the clinician in the differential diagnosis of catatonic states, we assessed the nature of electroencephalography (EEG) findings in both medical and psychiatric forms of catatonia. An exhaustive review of the literature on catatonia due to a general medical condition (CDGMC) was performed in addition to a prospective review of catatonic patients at The Ohio State University Neuwpsychiatric Facility.A total of 105 patients had documented, specific clinical and EEG information, with neurologic conditions accounting for 82.8% of case reports. Results from the case series of 31 episodes of catatonia indicate that there is an increased likelihood of diffuse slowing in patients with CDGMC versus psychiatric catatonia. Given the observed rate of abnormalities, EEG is an important but underutilized tool in the differential diagnosis of catatonic disorders.


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