Cases reported "Facial Pain"

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11/27. Sickle-cell anemia: a case report and literature review.

    Sickle-cell disease is characterized by the pathophysiological features of chronic hemolytic anemia, vaso-occlusion resulting in ischemic tissue injury and painful episodes. The organs at greatest risk are the spleen, kidney and bone marrow, where oxygen tension is low and blood flow is diminished. However, disease may also present in the mandible. The oral manifestations and radiographic findings of a sickle cell patient with a left mandibular neuropathy, along with dental management guidelines are presented in the context of interdisciplinary care.
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ranking = 1
keywords = injury
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12/27. Transient global brainstem dysfunction after microvascular decompression of the trigeminal nerve.

    Microvascular decompression of the trigeminal nerve root entry zone has become a standard treatment for trigeminal neuralgia. It has been widely reported with a low morbidity. This case report details an unusual and previously unreported complication of this procedure.
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ranking = 48769.403564383
keywords = trigeminal nerve
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13/27. Temporomandibular disorders due to improper surgical treatment of mandibular fracture: clinical report.

    A case of mandibular fracture surgically consolidated in a wrong position resulting in craniomandibular disorders is reported. The inadequate surgical alignment of the healed bony segments caused a malocclusion. This changed the original neuromuscular system such that compensatory mechanisms began to change the whole balance of the organism. The patient presented a mandibular crossbite, an asymmetry of the face, and extensive alteration of muscular, articular, and postural function. The bony malunion and malocclusion were treated using an interdisciplinary surgical-orthodontic treatment for correcting functional disorders and aesthetic deformity. electromyography and computerized mandibular scanning were used to evaluate improvement of the muscular activity, during rest and function, and of the mandibular kinesiology. Timing of surgical treatment and adequate fixation and immobilization of fracture segments are very important to avoid complications such as infection, delayed union, nonunion, malunion, skeletal discrepancies, nerve injury, and (rarely) ankylosis. The surgical approach should be based on the general criteria of traumatologic therapy, restoring the original bone shape and the right occlusal relations as soon as possible.
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ranking = 59.957884238136
keywords = nerve injury, injury
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14/27. hyoid bone syndrome: a degenerative injury of the middle pharyngeal constrictor muscle with photomicroscopic evidence of insertion tendinosis.

    This article describes the condition known as hyoid bone syndrome, its diagnosis by exclusion, and the histopathologic evidence of focal, degenerative muscle injury. The injury involves the origin fibers of the middle pharyngeal constrictor muscle on the greater cornu of the hyoid bone. The importance of the dentist and physician in recognizing the condition is emphasized, because dental and nondental pain reference sites make up the syndrome.
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ranking = 6
keywords = injury
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15/27. Post-traumatic external nasal neuralgia--an often missed cause of facial pain?

    Pain about the bridge of the nose is often a diagnostic dilemma. There is an important recognizable subgroup who may, as a consequence of involvement of the external nasal nerve in nasal injury, exhibit neuralgic pain after a latent interval. Temporary relief by anaesthesia can be achieved and cure is possible by division of the anterior ethmoidal nerve. This rare cause of facial pain is presented using two illustrative cases.
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ranking = 1
keywords = injury
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16/27. aneurysm, arteriovenous malformation and arteriovenous fistula in posterior fossa compression syndrome.

    To discuss the problem of neuroradiological preoperative procedures in patients with therapy-resistant facial pain, we present 3 case examples of vascular processes in the cerebellopontine angle (aneurysm, arteriovenous malformation, arteriovenous fistula). The microsurgical treatment in combination with artificial embolization is described. The vascular causes of microvascular compression at the root entry zone of the trigeminal nerve and malformations involving the nucleus caudalis are reviewed.
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ranking = 9753.8807128766
keywords = trigeminal nerve
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17/27. Atypical facial pain, ectasia of the basilar artery, and baclofen: a case report.

    Atypical facial pain is a clinical syndrome of facial pain that has been related to depression but whose pathogenesis is not known. We describe a 72-year-old woman with a chronic facial pain, and ectasia and left sided deviation of the basilar artery, that responded dramatically to baclofen. This case suggests that vascular compression of the trigeminal nerve may be one of the mechanisms producing this syndrome and in these cases it might respond to baclofen.
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ranking = 9753.8807128766
keywords = trigeminal nerve
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18/27. Diabetic polyradiculopathy with trigeminal nerve involvement. A case report.

    A 20-year-old white woman with controlled diabetes mellitus of 8 years' duration and a current diagnosis of diabetic polyradiculopathy had oral pain suggesting involvement of the mandibular branch of the trigeminal nerve and mimicking trigeminal neuralgia. Cranial nerve involvement in diabetic polyradiculopathy is rare, and trigeminal nerve involvement with pain has not been reported.
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ranking = 58523.28427726
keywords = trigeminal nerve
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19/27. trigeminal neuralgia mimicking odontogenic pain. A report of two cases.

    trigeminal neuralgia or tic douloureux is characterized by paroxysmal episodes of facial pain in the distribution of the trigeminal nerve, although patients may have a variety of symptoms that mimic odontogenic pain. This article presents two cases of trigeminal neuralgia that were misdiagnosed and initially treated endodontically as pain of odontogenic origin. A therapeutic regimen of carbamazepine alleviated the pain in both patients. These two cases demonstrate the importance of having a thorough knowledge of both odontogenic and nonodontogenic causes of orofacial pain, as well as the need for careful diagnosis before undertaking any treatment.
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ranking = 9753.8807128766
keywords = trigeminal nerve
(Clic here for more details about this article)

20/27. Traumatic dysesthesia of the trigeminal nerve.

    Traumatic injury to the peripheral nerves often results in persistent discomfort. substance p has been implicated as a mediator of pain, and depletion of this neurotransmitter has been shown to reduce pain. Subjects suffering from traumatic dysesthesia of the trigeminal nerve were treated with capsaicin, a substance p depleter with significant long-term effects. This form of therapy may be used individually or in combination with other pharmacologic interventions in the treatment of traumatic trigeminal dysesthesia.
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ranking = 48770.403564383
keywords = trigeminal nerve, injury
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