Persistent idiopathic facial pain: psychotherapeutic tactics

Мелехин, А.И.

Автор: Мелехин А.И.
Журнал: Journal of Neurology & Stroke
Том: 11
Номер: 3
Год издания: 2021
Издательство: MedCrave Group
Местоположение издательства: Edmond
Первая страница: 101
Последняя страница: 103
Аннотация: Recently, the number of patients with persistent idiopathic facialpain has been increasing, which includes a number of conditions:temporomandibular disorders, burning mouth syndrome, persistentdentofacial pain, trigeminal neuralgia, and atypical facial pain.Iatrogenic damage to the trigeminal nerve can also lead to persistentorofacial pain.Due to the complex anatomy of this area, the difficulties indiagnosing and treating chronic pain conditions (low response topainkiller therapy, partial response from botulinum toxin type A),pain is often felt by patients as recurrent, persistent and disabling. Itdoes not have a specific etiology, and before the final diagnosis, it isnecessary to exclude other pathologies. It can be confused with TMJ-apathology defined by a set of clinical problems associated with boththe masticatory muscles and the temporomandibular joint. Atypicalfacial pain is usually unilateral, located in the upper jaw area, and isdescribed as dull, aching, throbbing, or “burning”.1Here are examples of complaints of patients with facial pain:constant “tightening”, “cotton wool”, “aching”, piercing pain in theface, tingling like needles. Uncomfortable sensations do not occurimmediately after “stress” (at work, neighbors), or eating hard food,but after 2-4 hours. Wakes up in 3-4 nights “fever on the legs”.Difficulty falling asleep. Overreacts in the form of panic to otherpeople’s screams and raised voices (started with the mother “herscream is like a chokehold»).The diagnostic criteria are: 1) Facial pain, daily and highpersistence; 2) Deep and poorly localized pain, limited to the areabounded by the hemiface; 3) Pain without loss of sensitivity orother physical signs; 4) Radiography of the face and jaw withoutcorresponding anomalies.1
Добавил в систему: Мелехин Алексей Игоревич

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Persistent idiopathic facial pain: psychotherapeutic tacticsстатья

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