• Title/Summary/Keyword: neuralgia

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Clinical Study of Oriental-Western Collaborative Medical Treatment 1 Case of Patient with Glossopharyngeal Neuralgia (Glossopharyngeal neuralgia(설인신경통(舌咽神經痛)) 환자(患者) 1례(例)에 대한 임상적(臨床的) 고찰(考察))

  • Park, Chun-Ha;Cho, Myung-Rae;Yoon, Yeo-Choong;Leu, Choong-Ryul
    • Journal of Acupuncture Research
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    • v.17 no.4
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    • pp.180-187
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    • 2000
  • By process of treatment for a case which diagnosed as glossopharyngeal neuralgia and admitted from the 4th, August, 2000 to the 1st, September, 2000, the results are as follows. Method & Resuits : This patient was diagnosed as Flaring up of Heart-fire(心火上炎), medicated Gamichengsimyeonja-eum(JiaWeiQingXinLianZi-Yin) and acupunture therapy was taken on proximal acupoints of right throat and parotid and distal acupoints inciuding Yuji(L10, 魚際), Taixi(K6,太谿), Zhaohai(K3, 照海), Hegu(LI4, 合谷) and Taichong(Liv3, 太衝). And negative therapy was taken on some pressure points of Jianzhongshu(SI15, 肩中兪) Jianjing(G21, 肩井) and Futu(LI18, 扶突). As a result, the patient's paroxysmal megalgia was improved. Conclusion : I consider that idiopathic pain diseases including glossopharyngeal neuralgia can improved by Oriental-Western collaborative medical treatment and continuous research must be accumulated subsequently.

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The clinical observation on I case of patient with trigeminal neuralgia (삼차신경통(三叉神經痛) 환자 1례(例)에 대한 증례보고(證例報告))

  • Kim, Ji-Hyoung;Chung, Seung-Hyun;Shin, Gil-Jo;Lee, Won-Chul;Cho, Gyu-Seon
    • The Journal of Internal Korean Medicine
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    • v.21 no.3
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    • pp.505-510
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    • 2000
  • In the treatment of trigeminal neuralgia, it is known that the operative mothods, such as neurovascular decompression, rhizotomy etc. are the most effectious therapies on its pain control. But, due to some side effects and complication, the healing by the first intention of trigeminal neuralgia has been the pharmacotherapy. The cabamazepine is the most common agent, but it is not often effectious in some cases, and attenuated as time goes, engaged in some symptoms, such as dizziness, nausea, vomit, etc., and caused in aplastic anemia, thus it has much deficacies in being the first intention. Recently we have experienced a 77-year old woman who had suffered from the severe trigeminal neuralgia for 21 years, and her condition and pain control were improved through the Korean medical treatments, so we report it for the better treatment.

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Lipoma Causing Glossopharyngeal Neuralgia : A Case Report and Review of Literature

  • Choi, Mi Sun;Kim, Young Im;Ahn, Young Hwan
    • Journal of Korean Neurosurgical Society
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    • v.56 no.2
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    • pp.149-151
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    • 2014
  • The cerebello-pontine angle lipomas causing trigeminal neuralgia or hemifacial spasm are rare. A lipoma causing glossopharyngel neuralgia is also very rare. A 46-year-old woman complained of 2-year history of severe right throat pain, with ipsilateral episodic otalgic pain. The throat pain was described as an episodic lancinating character confined to the throat. Computed tomography and magnetic resonance imaging revealed a suspicious offending posterior inferior cerebellar artery (PICA) compressing lower cranial nerves including glossopharyngeal nerve. At surgery, a soft, yellowish mass ($2{\times}3{\times}3mm$ in size) was found incorporating the lateral aspect of proximal portion of 9th and 10th cranial nerves. Only microvascular decompression of the offending PICA was performed. Additional procedure was not performed. Her severe lancinating pain remained unchanged, immediate postoperatively. The neuralgic pain disappeared over a period of several weeks. In this particular patient with a fatty neurovascular lump causing glossopharyngeal neuralgia, microvascular decompression of offending vessel alone was enough to control the neuralgic pain.

Herpes Sine Zoster: Is the Cause for the Segmental Intercostal Neuralgia of Unknown Cause? -A case report- (Zoster Sine Herpete는 원인을 모르는 늑간신경통의 원인인가? -증례 보고-)

  • Yeo, Jin-seok;Sim, Woo-seok;Kim, Yong-chul
    • The Korean Journal of Pain
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    • v.18 no.2
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    • pp.226-228
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    • 2005
  • Zoster sine herpete (ZSH) is a varicella zoster virus (VZV) reactivation without a zoster that is difficult to diagnose early after onset. This study examined 12 patients who presented with intercostal neuralgia, had no history of trauma, cutaneous eruption and no scar of a herpes zoster on the lesion. Two patients had a vertebral compression fracture. Two patients had a history of a zoster in the other site. No other suspicious findings were observed. Ten of the twelve patients were checked for the IgG and IgM varicellar zoster virus antibody. All the patients tested positive to the Ig G antibody test and only one patient tested positive to the IgM antibody test. One patient was confirmed to have ZSH and the other patients were suspected of having ZSH. All the patients were treated for postherpetic neuralgia, resulting in a significant decrease in the intercostal neuralgia.

Severe Pain Attack Associated with Neurocardiogenic Syncope Induced by Glossopharyngeal Neuralgia: Successful Treatment with Carbamazepine and a Permanent Pacemaker -A Case Report-

  • Kim, Seung-Ho;Han, Kyung-Ream;Kim, Do-Wan;Lee, Jae-Woo;Park, Ki-Bum;Lee, Ji-Young;Kim, Chan
    • The Korean Journal of Pain
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    • v.23 no.3
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    • pp.215-218
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    • 2010
  • Glossopharyneal neuralgia (GPN) is generally considered to be a pain disease. However, it can be also be a life-threatening cardiac cause of syncope. Neuralgia in the throat and neck can trigger severe bradycardia up to the point of asystole, which can progress to cardiac syncope with or without seizures. A 65 year-old male patient diagnosed with glossopharyngeal neuralgia complained of severe paroxysmal pain in his right chin and ear followed by bradycardia, aystole and syncope. We report a case successfully treated with a permanent pacemaker and carbamazepine in a patient with GPN who had syncopal attacks preceded by paroxysms of pain.

Chuna Manual Therapy Combined Acupuncture for Trigeminal Neuralgia: A Systematic Review (삼차신경통에 대한 추나와 침 복합치료의 효과: 체계적 문헌고찰)

  • Kim, Chan-Young;Heo, In;Hwang, Eui-Hyoung
    • Journal of Korean Medicine Rehabilitation
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    • v.26 no.4
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    • pp.37-44
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    • 2016
  • Objectives To determine the effectiveness of Chuna manual therapy combined acupuncture for trigeminal neuralgia. Methods We searched 6 electronic databases (Pubmed, CAJ, Oasis, RISS, DBPIA, KoreanTK) and 2 journals up to August 2016. We included randomized controlled trials (RCTs) using Chuna manual therapy combined acupuncture for trigeminal neuralgia. The methodological quality of each RCT was assessed by the Cochrane risk of bias tool. Results 3 RCT studies were eligible in our review. The meta-analysis of 3 studies showed favorable results for the use of Chuna manual therapy combined acupuncture. High risk of bias were observed in all studies. Conclusions Although there are favorable results with meta-analysis, our systematic review are highly dependent on the single source of Chinese electrical database, CAJ. Now limited evidence is available to support Chuna manual therapy combined acupuncture for trigeminal neuralgia and further well-designed RCTs should be encouraged.

A Study on the Clinical Feature and Treatment Outcome of Patients with Trigeminal Neuralgia (삼차신경통의 임상양태와 보존적 치료결과에 관한 연구)

  • Nam, Chang-Ok;Park, June-Sang;Ko, Myung-Yun
    • Journal of Oral Medicine and Pain
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    • v.24 no.3
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    • pp.315-323
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    • 1999
  • The 63 patients(20 males, 43 females) were treated for their trigeminal neuralgia at the Department. of Oral Medicine, Pusan National University Hospital from 1993 to 1998. All the patients were treated for their trigeminal neuralgia by conservative methods such as medication, and Electric Acupuncture Stimulation Therapy The obtained results were as follows: 1. Trigeminal neuralgia was mainly involved in the patients of past forties, women and acute group. 2. 50.8% of patients were related to maxillary branches of trigeminal nerves. The trigger points were on gingivae, cheeks, teeth, lips in order. 3. 55.6% of patients with trigeminal neuralgia had systemic diseases and 39.7% were related to dental practices. 4. Success rate of the treatments was 71.4% and the recurrence rate was 26.3%. 5. The refractory factors in improving symptoms were chronic history, involvement of complex branches, and experience of prosthodontic treatments.

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Epidermoid Tumors in the Cerebellopontine Angle Presenting with Trigeminal Neuralgia

  • Son, Dong-Wuk;Choi, Chang-Hwa;Cha, Seung-Heon
    • Journal of Korean Neurosurgical Society
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    • v.47 no.4
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    • pp.271-277
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    • 2010
  • Objective : The purpose of this study is to evaluate the clinical characteristics and surgical outcome of cerebellopontine angle (CPA) epidermoids presenting with trigeminal neuralgia. Methods : Between 1996 and 2004, 10 patients with typical symptoms of trigeminal neuralgia were found to have cerebellopontine angle epidermoids and treated surgically at our hospital. We retrospectively analyzed the clinico-radiological records of the patients. Results : Total resection was done in 6 patients (60%). Surgical removal of tumor and microvascular decompression of the trigeminal nerve were performed simultaneously in one case. One patient died due to postoperative aseptic meningitis. The others showed total relief from pain. During follow-up, no patients experienced recurrence of their trigeminal neuralgia (TN). Conclusion : The clinical features of TN from CPA epidermoids are characterized by symptom onset at a younger age compared to TN from vascular causes. In addition to removal of the tumor, the possibility of vascular compression at the root entry zone of the trigeminal nerve should be kept in mind. If it exists, a microvascular decompression (MVD) should be performed. Recurrence of tumor is rare in both total and subtotal removal cases, but long-term follow-up is required.

A Case Report of Trigeminal Neuralgia Treated with Melonis Calyx Vomiting Therapy (과체 토법을 병용한 삼차신경통 환자 한방치험 1례)

  • Kang, Ju-Young;Lee, Seung-Hee;Lee, Su-Kyung;Hong, Hyeon-Jin;Lee, Chang-Won;Cho, Hye-Won
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.30 no.3
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    • pp.231-238
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    • 2017
  • Objectives : The purpose of this study is to report the efficacy of using oriental medical treatment(herbal medicine, acupuncture) with melonis Calyx Vomiting Therapy(MCVT) for trigeminal neuralgia. Methods : We experienced one cases of trigeminal neuralgia treated with oriental medical treatment and melonis Calyx Vomiting Therapy. MCVT is a traditional treatment, which induces vomiting by eating melonis Calyx powder with water. To evaluate the results of this treatment, we used the Visual Analogue Scale(VAS) and sleeping time. Results : After using MCVT with oriental medical treatment, VAS, sleeping time and clinical symptoms of the patient were improved remarkably. Conclusions : This study suggests that using MCVT with oriental medical treatment is effective on trigeminal neuralgia.

Case Report of Post-herpetic Neuralgia by Siryung-tang(Ch${\acute{a}}$il${\acute{i}}$ng-t${\bar{a}$ng) (대상포진 후 신경통환자의 시령탕(柴領湯) 치험 1례)

  • Son, Ji-Young;Lee, Seong-Geun;Lee, Key-Sang;Park, Joon-Young;Yun, Hyo-Jin
    • Journal of Physiology & Pathology in Korean Medicine
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    • v.20 no.6
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    • pp.1779-1784
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    • 2006
  • This study was designed to evaluate the effects of an oriental medicine(Siryung-tang) on pain caused by Post-herpetic neuralgia. We treated a 70 year-old male patient who suffered left flank pain by Post-herpetic neuralgia. As for treatment, we used Siryung-tang. After seven-day of treatment, all symptoms started to improved. This study suggests that Siryung-tang is effective in treatment of pain by Post-herpetic neuralgia.