RESUMO
This is a case study of a 68-year-old woman with previously unremitting depression. The patient came to our care in 1994 following a series of treatment interventions that did not alter the course of chronic depression. We report our treatment approach and results seen with this patient, including her tepid response to traditional antidepressants and the positive results seen in the past year using vagus nerve stimulation (VNS) therapy. The patient experienced broad gains in measures of depression severity and well-being under her current treatment regimen. She has had no serious adverse events associated with the regimen, which includes VNS therapy and decreased doses of common antidepressant medications.
Assuntos
Transtorno Depressivo Maior/diagnóstico , Transtorno Depressivo Maior/terapia , Terapia por Estimulação Elétrica/métodos , Nervo Vago , Afeto , Idoso , Antidepressivos/uso terapêutico , Doença Crônica , Transtorno Depressivo Maior/tratamento farmacológico , Feminino , Seguimentos , Humanos , Transtornos do Humor , Medição de Risco , Índice de Gravidade de Doença , Falha de Tratamento , Resultado do TratamentoRESUMO
A case history is presented of a patient who fabricated 3 prostheses from autopolymerizing acrylic resin intended for fingernail augmentation and then cemented them into her mouth with super glue. Patients must be warned not to attempt self-treatment for esthetics with self-fabricated prostheses because severe adverse and irreversible hard and soft tissue reactions may occur.
