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诊断为非典型三叉神经痛的顽固性面部疼痛的治疗:一例报告

Treatment of refractory facial pain diagnosed as atypical trigeminal neuralgia: a case report.

作者信息

King Max C, Triplett R Gilbert, Rees Terry D

机构信息

Baylor College of Dentistry, Texas A&M, Health Science Center, Dallas, Texas, USA.

出版信息

Compend Contin Educ Dent. 2006 Feb;27(2):113-20.

PMID:16494098
Abstract

This case report describes an effective treatment protocol, the healing process, and the recovery of the patient to a pain-free status after more than 25 years of failed treatment for facial pain. Features of this case report include: 1. A procedure to produce a phenomenon useful as a pathognomonic sign of autonomic nervous system neuropathy, as a determination of the location of the origin of pain, and as a monitoring device for the effectiveness of treatment. 2. A digital pressure intervention procedure that appears effective as a treatment modality to relieve pain and to effect healing. 3. A method to improve posture of the body affecting the relationship of the maxilla to the mandible, the dental occlusion, and the etiology of facial pain. 4. A description of the nature and intensity of the different levels of the pain experienced in the face from the most severe state of pain to a no-pain condition. 5. A diagnosis using a diagnostic term that has developed since the initial diagnosis of atypical trigeminal neuralgia in this case.

摘要

本病例报告描述了一种有效的治疗方案、愈合过程以及该患者在面部疼痛长达25年以上治疗失败后恢复至无痛状态的情况。本病例报告的特点包括:1. 一种可产生一种现象的程序,该现象可作为自主神经系统神经病变的特征性体征、确定疼痛起源位置以及作为治疗效果监测手段。2. 一种数字压力干预程序,似乎作为一种治疗方式可有效缓解疼痛并促进愈合。3. 一种改善身体姿势的方法,该姿势会影响上颌与下颌的关系、牙合以及面部疼痛的病因。4. 描述了从最严重疼痛状态到无痛状态面部所经历的不同程度疼痛的性质和强度。5. 使用了自本病例最初诊断为非典型三叉神经痛以来出现的诊断术语进行诊断。

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Compend Contin Educ Dent. 2006 Feb;27(2):113-20.
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