| Effects of root or nerve destruction on vibrotactile sensitivity in trigeminal neuralgia. | |
| | |
MedLine Citation:
|
PMID: 876675 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Vibrotactile thresholds were determined at 7 frequencies between 25 and 300 Hz at the medial edge of the cheek in 11 patients who had been or were currently being treated for major trigeminal neuralgia, tic douloureux. A control group, comparable in age but without neural pathology, was also tested. Results indicate essentially no difference between normal and affected sides of the face prior to surgery. The drug carbamazepine (Tegretol), commonly used to control pain of trigeminal neuralgia, did not affect vibrotactile thresholds. Infraorbital neurectomy resulted in an initial loss of sensitivity at all frequencies, followed by a gradual return of sensation which reached preoperative levels at approximately one year. The return of sensitivity was followed by the return of neuralgia. Following alcoholic gasserian rhizolysis, low-frequency thresholds were elevated considerably as after neurectomy, but sensation above 100 Hz was lost completely. A return of high-frequency sensitivity accompanied the recurrence of pain in some patients who had been injected up to 13 years prior to testing. The results are discussed in terms of recent anatomical, electrophysiological, and clinical findings. |
| | |
Authors:
|
R T Verrillo; A D Ecker |
Related Documents
:
|
23617885 - Deterioration of filtering bleb morphology and function after phacoemulsification. 18246365 - Audiological performance in cochlear implanted patients deafened by meningitis dependin... 23686865 - Bevacizumab - finding its niche in the treatment of heart failure secondary to liver va... 23243645 - Ultrasound of the knee in rheumatology. 3984135 - Vesical dysfunction in multiple sclerosis. 15978145 - The proximal gastric pouch invariably contains acid-producing parietal cells in roux-en... |
Publication Detail:
|
Type: Journal Article; Research Support, U.S. Gov't, P.H.S. |
Journal Detail:
|
Title: Pain Volume: 3 ISSN: 0304-3959 ISO Abbreviation: Pain Publication Date: 1977 Jun |
Date Detail:
|
Created Date: 1977-08-12 Completed Date: 1977-08-12 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 7508686 Medline TA: Pain Country: NETHERLANDS |
Other Details:
|
Languages: eng Pagination: 239-55 Citation Subset: IM |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adult Aged Carbamazepine / therapeutic use Ethanol / administration & dosage Female Humans Injections Male Middle Aged Pain* / drug therapy Sensation* Trigeminal Nerve / surgery Trigeminal Neuralgia* / surgery, therapy Vibration* |
| Chemical | |
Reg. No./Substance:
|
298-46-4/Carbamazepine; 64-17-5/Ethanol |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Effects of intrasegmental electrical acupuncture on dental pain: evaluation by threshold estimation ...
Next Document: A comparison of primary dysmenorrhoea and intrauterine device related pain.