RESUMO
La odontalgia atípica (OA) se define como un dolor dental continuo en uno o varios dientes, en ocasiones precedido por procedimientos dentales, y que tras un examen completo no se detecta patología dental. Se presupone un origen neuropático cuya respuesta a tratamientos locales y sistémicos es insatisfactoria. Presentamos el caso clínico de una paciente de 50 años con OA tras extracción dental, que presentó una reducción significativa del dolor después del tratamiento local con OnabotulinumtoxinA (OnabotA) en el área sintomática. La respuesta a la administración de OnabotA en esta paciente concuerda con las observadas previamente en series reducidas de casos, por lo que podría ser una alternativa terapéutica en este tipo de dolores de difícil control
Atypical odontalgia (AO) is defined as a continuous dental pain in the area of one or several teeth, sometimes preceded by dental procedures in the absence of signs of dental pathology after complete examination. It is thought to have a neuropathic origin in which the response to local and systemic treatment is insufficient. We present the case of a 50-year-old patient with AO after dental extraction, who presented a significant reduction in pain after local treatment with OnabotulinumtoxinA (OnabotA) in the symptomatic area. The response to the administration of OnabotA in this patient is in line with what had previously been observed in small series of cases, so it could be a therapeutic alternative in this type of pain that is difficult to control
Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Toxinas Botulínicas Tipo A/administração & dosagem , Fármacos Neuromusculares/administração & dosagem , Odontalgia/tratamento farmacológico , Resultado do TratamentoRESUMO
Atypical odontalgia (AO) is defined as a continuous dental pain in the area of one or several teeth, sometimes preceded by dental procedures in the absence of signs of dental pathology after complete examination. It is thought to have a neuropathic origin in which the response to local and systemic treatment is insufficient. We present the case of a 50-year-old patient with AO after dental extraction, who presented a significant reduction in pain after local treatment with OnabotulinumtoxinA (OnabotA) in the symptomatic area. The response to the administration of OnabotA in this patient is in line with what had previously been observed in small series of cases, so it could be a therapeutic alternative in this type of pain that is difficult to control.
Assuntos
Toxinas Botulínicas Tipo A/administração & dosagem , Fármacos Neuromusculares/administração & dosagem , Odontalgia/tratamento farmacológico , Feminino , Humanos , Pessoa de Meia-Idade , Resultado do TratamentoRESUMO
We report the case of a 35-year-old woman with paroxysmal unilateral hyperhidrosis which developed after thoractotomy for Barret's esophagus (benign esophageal stenosis). Hyperhidrosis was on the right side of the face and in the metameric areas corresponding to the right spinal roots C2, C3 and C4. Paroxysms of sweating lasting from 15 to 30 min occurred several times daily, either spontaneously or related with acid food ingestion. The symptoms have been present for the last 10 years. Paroxysmal unilateral hyperhidrosis is a rare disorder of the autonomic nervous system. It has been reported in association with peripheral nerve, spinal cord and cerebral lesions, and in some cases the etiology is unknown.