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Hosseini M, Asarzadegan F, Shafiee E, Alijanpour S. Trigeminal neuralgia: IncobotulinumtoxinA (Xeomin), can it decrease the pharmacological intervention? (A case series). CASPIAN JOURNAL OF INTERNAL MEDICINE 2023; 14:376-379. [PMID: 37223298 PMCID: PMC10201132 DOI: 10.22088/cjim.14.2.376] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Figures] [Subscribe] [Scholar Register] [Received: 10/15/2021] [Revised: 12/18/2021] [Accepted: 12/25/2021] [Indexed: 05/25/2023]
Abstract
Background Trigeminal neuralgia is one of the most disabling facial pain syndromes. In recent years' new therapeutic strategy, incobotulinumtoxin A has emerged. The aim of the current study was to determine the time and duration of pain in 3 cases with pharmacological treatment and incobotulinumtoxin A. Case presentation In three patients with different onsets, trigeminal neuralgia was diagnosed. Pain severity was assessed by the visual analogue scale. Patient demographics and clinical data were filled in a checklist. They were females with age ranging from 39 to 49 years. Two patients had normal MRI and one patient had no any recent MRI. One center and specialist injection Xeomin 50 units for one time. Despite long time oral treatment, their symptoms had no significant improvement, but after incobotulinumtoxin A injection, pain frequency, severity and duration decreased in patients. Conclusion Result showed that the frequency, severity and duration of pain attacks was efficiently decreased by incobotulinumtoxin A with low side-effects. Its complication and side-effect should be considered in the future.
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Affiliation(s)
- Meghdad Hosseini
- Department of Neurology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Farhad Asarzadegan
- Department of Neurology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Erfan Shafiee
- Department of Neurology, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Shayan Alijanpour
- Students Scientific Research Center, School of Nursing and Midwifery, Tehran University of Medical Science, Tehran, Iran
- Research and Planning Unite, Pre-hospital Emergency Organization and Emergency Medical Service Center, Babol University of Medical Sciences, Babol, Iran
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Custead R, Oh H, Wang Y, Barlow S. Brain encoding of saltatory velocity through a pulsed pneumotactile array in the lower face. Brain Res 2017; 1677:58-73. [PMID: 28958864 DOI: 10.1016/j.brainres.2017.09.025] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2017] [Revised: 08/31/2017] [Accepted: 09/20/2017] [Indexed: 12/25/2022]
Abstract
Processing dynamic tactile inputs is a primary function of the somatosensory system. Spatial velocity encoding mechanisms by the nervous system are important for skilled movement production and may play a role in recovery of sensorimotor function following neurological insult. Little is known about tactile velocity encoding in mechanosensory trigeminal networks required for speech, suck, mastication, and facial gesture. High resolution functional magnetic resonance imaging (fMRI) was used to investigate the neural substrates of velocity encoding in the human orofacial somatosensory system during unilateral saltatory pneumotactile stimulation of perioral and buccal hairy skin in 20 neurotypical adults. A custom multichannel, scalable pneumotactile array consisting of 7 TAC-Cells was used to present 5 stimulus conditions: 5cm/s, 25cm/s, 65cm/s, ALL-ON synchronous activation, and ALL-OFF. The spatiotemporal organization of whole-brain blood oxygen level-dependent (BOLD) response was analyzed with general linear modeling (GLM) and fitted response estimates of percent signal change to compare activations associated with each velocity, and the main effect of velocity alone. Sequential saltatory inputs to the right lower face produced localized BOLD responses in 6 key regions of interest (ROI) including; contralateral precentral and postcentral gyri, and ipsilateral precentral, superior temporal (STG), supramarginal gyri (SMG), and cerebellum. The spatiotemporal organization of the evoked BOLD response was highly dependent on velocity, with the greatest amplitude of BOLD signal change recorded during the 5cm/s presentation in the contralateral hemisphere. Temporal analysis of BOLD response by velocity indicated rapid adaptation via a scalability of networks processing changing pneumotactile velocity cues.
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Affiliation(s)
- Rebecca Custead
- Special Education and Communication Disorders, University of Nebraska, Lincoln, NE, USA; Center for Brain, Biology and Behavior, University of Nebraska, Lincoln, NE, USA.
| | - Hyuntaek Oh
- Biological Systems Engineering, University of Nebraska, Lincoln, NE, USA; Center for Brain, Biology and Behavior, University of Nebraska, Lincoln, NE, USA.
| | - Yingying Wang
- Special Education and Communication Disorders, University of Nebraska, Lincoln, NE, USA; Biological Systems Engineering, University of Nebraska, Lincoln, NE, USA; Center for Brain, Biology and Behavior, University of Nebraska, Lincoln, NE, USA.
| | - Steven Barlow
- Special Education and Communication Disorders, University of Nebraska, Lincoln, NE, USA; Biological Systems Engineering, University of Nebraska, Lincoln, NE, USA; Center for Brain, Biology and Behavior, University of Nebraska, Lincoln, NE, USA.
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