Section of Psychiatry and Behavioral Sciences, Department of Sleep Modulatory Medicine, Tokyo Medical and Dental University Graduate School, Tokyo, Japan.
J ECT. 2012 Mar;28(1):50-1. doi: 10.1097/YCT.0b013e31822e581e.
Oral cenesthopathy is a somatic delusion in the oral area and categorized as delusional disorder, somatic type. Patients experience unusual and annoying sensations in the mouth such as pulling on the teeth, moving teeth, overly secreting mucus, tingling and pain, and so on, without a somatic base. The condition is usually treatment-resistant and impairs patients' quality of life. We report a case of oral cenesthopathy successfully treated with the modified electroconvulsive therapy, who demonstrated altered regional cerebral blood flow before and after the treatment detected by single-photon emission computed tomography.
口腔感觉异常是一种口腔躯体妄想，归类于躯体妄想障碍，躯体型。患者会体验到口腔内异常且恼人的感觉，如牙齿被拉扯、牙齿移动、过度分泌唾液、刺痛和疼痛等，而没有躯体基础。这种情况通常难以治疗，并会损害患者的生活质量。我们报告了一例口腔感觉异常成功接受改良电抽搐治疗的病例，该病例在治疗前后的单光子发射计算机断层扫描显示了区域性脑血流的改变。
