[A specific form of headache with neuralgia-like manifestations (SUNCT-syndrome)]. / Osobaia forma golovnoi boli s nevralgopodobnymi proiavleniiami (SUNCT-sindrom).

A recently described SUNCT is a rare head ache syndrome characterized by shortlasting, unilateral, neuralgia-like headache attack with conjunctival injection and tearing; 26 cases of SUNCT-syndrome have been reported in medical literature. The authors observed the described symptoms in 3 cases (among 86 patients with trigeminal paroxysmal manifestations). Clinical features of SUNCT-syndrome are presented. In addition, the authors discuss possible etiologic factors and treatment as well as a differential diagnosis of SUNCT-syndrome, from trigeminal neuralgia, cluster headache, chronic paroxysmal hemicrania and combined syndromes.

Use of transcutaneous electrical nerve stimulation in the complex treatment of glossalgia.

Thirty-four patients with glossalgia were studied. The painful part of tongue was electrically stimulated using an 'Elektronika-2M' apparatus with a current of 45 microA for 10-20 min (current strength was patient-controlled to produce the sensation of local prickling): courses consisted of 10-12 treatments. The results of electrical stimulation therapy were compared with results obtained using standard methods of treatment (novocaine blockade, analgesics, etc.), which were used in a control group of 30 patients. Transcutaneous electrical nerve stimulation was highly effective: improvements were noted after the first session, and significant reductions in pain syndrome occurred after 1-3 sessions; therapeutic effects were obtained at the end of treatment in all 34 patients, i.e., in 100% of cases, as compared with 70% in the control group, with remission lasting more than one year in 20 patients and from 3-12 months in 14.

[The use of transcutaneous electric nerve stimulation in the combined treatment of glossalgia]. / Primenenie chreskozhnoi élektroneirostimuliatsii v kompleksnom lechenii glossalgii.

34 patients with glossalgia were examined. Tongue's pain zones electrostimulation was performed with the aid of "Elektronika - 2M" device. The current of 45 mkA was applied during 10-20 min (current's power was regulated by patients themselves which had being tried to get the slight pricking sensation). The treatment session consisted of 10-12 exposures. The treatment results were compared with generally accepted methods (novocaine blockade, analgetic, etc.) which were used in control group (30 cases). The high TCES efficiency was demonstrated, exactly the improvement was observed just after the first exposure, the significance decrease of pain syndrome was observed after treatment in all patients, (100% cases as compared with 74% in control group) with remissions more than year in 20 observations and from 3 months to 1 year in 14 individuals.

[Changes in the bioelectrical activity of the masticatory muscles and temporomandibular joint pathology in the myofascial pain dysfunction syndrome]. / Izmeneniia bioélektricheskoi aktivnosti zhevatel'nykh myshts i patologgia visochno-nizhnecheliustnogo sustava pri miofastsial'nom bolevom disfunktsional'nom sindrome.

The authors consider the dependence of changes in the temporomandibular joint on the disease duration, analyze the relations between the clinical pattern of myofascial pain dysfunction syndrome (MPDS) and electromyographic changes in the masticatory muscles. Changes in the temporomandibular joint seemed to be of little importance for MPDS severity.

[Hormonal disorders in women with prosopalgia in osteochondrosis of the cervical spine and the possible means for their correction]. / Gormonal'nye narusheniia u zhenshchin s prozopalgiiami pri osteokhondroze sheinogo otdela pozvonochnika i vozmozhnye puti ikh korrektsii.

Radioimmunoassay was employed to determine basal levels of LH, FSH, prolactin, total testosterone and 17 beta-estradiol in plasma from 52 pre- or postmenopausal women with prosopalgia consequent to cervical osteochondrosis. The measurements were made before and after laser treatment. Different from the control, basal levels of the hormones and the trends in their changes due to laser therapy depended on the patients' age and the disease stage.

[Electroconvulsive therapy of trigeminal neuralgia]. / Elektrosudorozhnaia terapiia v lechenii bol'nykh nevralgiiami troinichnogo nerva.

The authors describe a new method of the treatment of patients with trigeminal neuralgias using electroconvulsive therapy. The method is based on the increase of beta-endorphin concentration as a result of electroconvulsive treatment. The treatment of 12 patients in accordance with the suggested method provided beneficial results and significant enhancement of the efficacy of therapy as compared to patients undergoing conventional treatment.

[Immunologic status in autonomic prosopalgias]. / Immunologicheskii status pri vegetativnykh prozopalgiiakh.

The authors describe the results of immunological examination of patients suffering from vegetative prosopalgias. A study was made of the initial status of immunity and of its dynamics after treatment. The majority of patients manifested an increase of immunoglobulin A concentration and activation of local humoral immunity. The treatment brought about a reduction of immunoglobulin A concentration in blood serum.

[Somatosensory evoked potentials in patients with lesions of the trigeminal nerve system]. / Somatosensornye vyzvannye potentsialy u bo'lnykh s porazheniem sistemy troinichnogo nerva.

These are results of comparison of clinical data and parameters of early components of somatosensory evoked potentials (SSEP) in patients with various pathological disorders in the trigeminal nerve system. The investigations evidenced that neurologic patients have different degrees of disorders in structural-functional organization of trigeminal nerve system resulting from the disease itself and previous therapeutic interventions. Some of the peculiarities of SSEP changes, e.g., their amplitude and/or temporal asymmetry under stimulation of the sites of intact and afflicted sides of the face are believed to correspond to pathological changes in trigeminal nerve system. These features can serve as diagnostic and prognostic tests.

[Immunological status of patients with painful syndromes in the face and head]. / Immunologicheskii status u bol'nykh s bolevymi sindromami v oblasti litsa i golovy.

As many as 145 patients with painful syndromes in the face and head underwent immunologic examination. They manifested certain changes in cellular and humoral immunity. An increase in the content of secretory IgA in the saliva and in the serum and a decrease of the concentration of IgM and IgG in the serum were detected in the majority of patients. In patients with NTN of mainly peripheral genesis and with Horton's syndrome, the concentration of IgE in the serum was significantly (P less than 0.01) elevated. The changes in the immunologic status, seen in patients after the treatment are discussed.

[Treatment of patients with facial hemispasm by transcutaneous electric nerve stimulation]. / Lechenie bol'nykh litsevym gemispazmom metodom cheskozhnoi élektroneirostimuliatsii.

Fifty-two patients (aged 15 to 78 years) suffering from facial hemispasm were treated by transcutaneous electric nerve stimulation (TENS). For this purpose electric-impulse apparatuses generating bipolar nonsymmetrical impulses were employed. The employment of TENS eliminated hyperkinesis for a period of several minutes to several hours. Interparoxysmal intervals lengthened and hyperkinesis became less pronounced. After a TENS session EMG showed no spontaneous activity in the form of "volleys of oscillations". A possible mechanism of TENS therapeutic effect in facial hemispasm is discussed.

[Complex treatment of dental plexalgia using physiotherapeutic methods]. / Kompleksnoe lechenie dental'noi pleksalgii s ispol'zovaniem metodov fizioterapii.

A total of 66 patients with dental plexalgia have been examined and treated at the neurological dentistry department. A multiple-modality scheme for the treatment of this condition is suggested, whose basic methods are physiotherapeutic ones: longitudinal physiotherapy, diadynamic currents with a narcotic mixture, trimecain or lydase + analgin electrophoresis. The treatment was effective in the majority of patients.

[The clinical picture and treatment of neuropathies of the trigeminal nerve system]. / Klinika i lechenie nevropatii sistemy troinichnogo nerva.

Neuropathic, stomatological and instrumental examination was performed in 86 patients with trigeminal neuropathies admitted to a specialized dental neurological department. The disease was found clinically heterogeneous, requiring a systemic approach to its treatment based on current knowledge of the disease etiology.

[Evoked potentials in experimental neuritis (neuropathies) of the trigeminal nerve]. / Vyzvannye potentsialy pri éksperimental'nykh nevritakh (nevropatiiakh) troinichnogo nerva.

On the basis of an analysis of evoked potentials (EPs) the authors have studied alterations in the bioelectrical activity in experimental trigeminal neurites (neuropathies). The results have shown that the most important electrophysiological signs of experimental trigeminal neurites is a decrease in the amplitude of the positive phase of the vertex potential. This appears to reflect a weakened conductivity function of the nerve due to its pathomorphological changes and a higher amplitude of the negative phase of evoked potentials indicating hyperactivation of the nonspecific system.