Three cases of persistent idiopathic facial pain successfully treated with low doses of tricyclic antidepressants
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- MANABE Haruhiko
- Department of Anesthesiology, Kitakyushu Municipal Medical Center
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- KUME Katsusuke
- Department of Anesthesiology, Kitakyushu Municipal Medical Center
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- KATOH Haruko
- Department of Anesthesiology, Kitakyushu Municipal Medical Center
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- MUTOH Yuri
- Department of Anesthesiology, Kitakyushu Municipal Medical Center
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- HIRAMORI Tomoko
- Department of Anesthesiology, Kitakyushu Municipal Medical Center
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- ARIKAWA Tomoko
- Department of Anesthesiology, Kitakyushu Municipal Medical Center
Bibliographic Information
- Other Title
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- 低用量の三環系抗うつ薬が著効した持続性特発性顔面痛の3症例
- テイヨウリョウ ノ サンカンケイ アラガウツ クスリ ガ チョコウシタ ジゾクセイ トクハツセイ ガンメンツウ ノ 3 ショウレイ
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Abstract
Facial pain as a symptom frequently observed in routine clinical services is caused by headache; oral, ophthalmologic, nasal, and oral abnormalities; facial impairment; and cranial nerve disorders. However, some patients have long-lasting facial pain with no organic changes or nonmeeting criteria of trigeminal neuralgia or migraine. These cases are usually diagnosed as persistent idiopathic facial pain (PIFP). Here we report 3 PIFP cases with intractable pain for 2-20 years that were successfully treated with nerve blocks and 10-25 mg/day tricyclic antidepressants (TCAs). Pain relief was subsequently maintained with low-dose (10 mg/day) TCAs. Although its therapeutic mechanism has not yet been fully clarifi ed, this approach is suggested to be effective for patients with nonretractable facial pain.
Journal
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- Journal of Japan Society of Pain Clinicians
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Journal of Japan Society of Pain Clinicians 21 (2), 111-114, 2014
Japan Society of Pain Clinicians
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Details 詳細情報について
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- CRID
- 1390282679436318208
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- NII Article ID
- 130004848632
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- NII Book ID
- AN10440947
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- ISSN
- 18841791
- 13404903
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- NDL BIB ID
- 025693247
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed