ISSN:0749-8047    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

The charts of 44 patients with surgically resected cerebellopontine angle meningiomas were reviewed. In nine, facial pain ipsilateral to the tumor was a prominent symptom. In all nine cases the pain was intermittent, and in most the pain was described as either a sharp or lancinating sensation. The pain was most often referred to the sensory distribution of V3, less often to V2, and only occasionally to V1. In several patients the pain was evoked by light touch within a cutaneous trigger zone or by facial movement. In one case the pain was characteristic of trigeminal neuralgia. Common signs associated with the facial pain were ipsilateral trigeminal nerve deficits and hearing loss. Occasionally, facial weakness ipsilateral to the tumor was also reported. The facial pain symptoms in this series of patients with cerebellopontine angle meningiomas are discussed in the context of previous reports of facial pain in patients with meningioma, acoustic neuroma, and epidermoid tumors in this location.

ISSN:0749-8047    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

In the differential diagnoses of facial pain, it is useful to consider the psychogenic types and then the sites of dysfunction or disease. This review emphasizes those facial pains in which examination of the patient is normal or nonspecific, and the cause is not obvious. Atypical facial pain is a diagnosis of exclusion without known pathophysiologic mechanisms, and is often psychogenic. Dysfunction of the muscles of mastication (myofascial pain dysfunction) is a common cause of facial pain; the acronym TMJ (temporomandibular joint) is best reserved for demonstrable disease of the joint. Other organic diseases and pathophysiologic processes affecting the muscles and bone, mouth, eyes, ears, nose, throat, blood vessels, and cranial nerves, and pain syndromes affecting the central nervous system are discussed. If the underlying cause of pain cannot be found and eliminated, other therapeutic approaches are discussed.

ISSN:0749-8047    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

During the past several years the perspectives on headache have changed. This paper reviews the evolution of our understanding of headache and its mechanism, emphasizing the growing attention to neurobiological phenomena in headache pathogenesis. The continuum or transformation between migraine and tension headache is considered in detail, as are the importance of family history of headache, substance abuse, and sleep disturbances in the families of patients with headache. Treatments and clinical phenomena are reviewed.

ISSN:0749-8047    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

Mefenamic acid (250, 375, or 500 mg) was assessed for plasma concentration, analgesic efficacy, and side effects in a single-dose, double-blind study of patients with long-standing chronic back pain. Dose–response relations were seen with both analgesia and peak plasma mefenamic acid concentration, though plasma levels were very variable. In a 3-week double-blind, multiple-dose crossover comparison with placebo and aspirin, 500 mg mefenamic acid was significantly better than placebo. The study emphasises that patients with chronic back pain obtained some pain relief and could discriminate different doses of drug. Methods developed for postoperative pain may be used effectively for developing better pharmacological management of chronic back pain.

ISSN:0749-8047    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

In a double-blind, parallel group, single-dose study, combinations of midazolam with meperidine were administered intramuscularly to determine the efficacies of the combinations in the relief of postoperative pain and to compare their effects with those produced by meperidine alone. One hundred and fifty patients received meperidine, 0.5 or 1.0 mg/kg, with midazolam, 0.05 mg/kg, or meperidine, 0.5, 1.0, or 1.5 mg/kg, alone. Analgesia, sedation, and anxiolysis were measured by quantifying the subjective responses of patients and by nurse observations. The analgesic effect of meperidine was not significantly enhanced by the addition of midazolam. Addition of midazolam to meperidine (1.0 mg/kg) produced significantly more sedation than meperidine (1.0 mg/kg) alone, but not anxiolysis.

ISSN:0749-8047    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

Paresthesia is often observed during induction of continuous epidural anesthesia using a catheter. A case in which such paresthesia was reported in relation to the subsequent pain of the foot is described. The etiology of the pain was thought to be trauma to the spinal nerve root by the epidural catheter. The nerve conduction studies and thermography of the foot, as diagnostic aids of a radiculopathy, are reviewed.

ISSN:0749-8047    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

In August and September 1985, a nationwide telephone survey was made of 1,254 persons aged 18 and older, representing a cross-section of the adult population in the continental United States. This survey provided quantitative data on the prevalence and severity of different kinds of pain, the demographic characteristics of those with pain, the impact of pain on work and other activities, the relationship between pain and measures of stress and health locus of control, the use of medical and other professionals in pain treatment, and the effectiveness of various treatments for pain relief. This is the first nationwide survey of an unselected sample of the U.S. census and provides extensive data documenting the need for additional research on pain and its control and for improved education of the public and health professions.

ISSN:0749-8047    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

Multiple factors are involved in psychological functioning of the chronic pain patient. Those commonly described in the literature include age and sex of the patient as well as duration of pain. Little is known about the effects of the temporal aspect of pain (e.g., continuous versus intermittent). This study assesses psychological adjustment and perception of pain in two pain problems (trigeminal neuralgia and postherpetic neuralgia). The results of the study indicate that greater psychological dysfunction and disability are associated with the continuous unrelenting pain of postherpetic neuralgia as compared with the sharp intermittent pain of trigeminal neuralgia, independent of overall pain intensity.

ISSN:0749-8047    

出版商:OVID    

年代:1986

数据来源: OVID

摘要:

Persistent pain infrequently complicates injury to bone, soft tissue, and peripheral nerve. Reflex sympathetic dystrophy (RSD) is a generic term used to indicate a clinical syndrome consisting of pain (usually burning in quality), hyperpathia, dystrophic changes in skin, nails, and subcutaneous tissues, and sympathetic dysfunction occurring in response to bone and soft tissue injury. Causalgia is a special type of RSD complicating partial injury to peripheral nerve in which there is intense pain, sympathetic dysfunction, and dystrophic changes in the limb, and often a beneficial response to sympathetic blockade. Current available treatments of neuropathic pain, and the proposed mechanisms of pain, hyperalgesia, and sympathetic dysfunction occurring in the RSDs, will be reviewed. An approach to the management of patients with RSD will be proposed.

ISSN:0749-8047    

出版商:OVID    

年代:1986

数据来源: OVID