Botulinum toxin-A injections as therapy for chronic painful post-traumatic trigeminal neuropathy: case report
Autor(a) principal: | |
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Data de Publicação: | 2020 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Brazilian Dental Science |
Texto Completo: | https://ojs.ict.unesp.br/index.php/cob/article/view/1800 |
Resumo: | Painful post-traumatic trigeminal neuropathy (PTTN) involves spontaneous and evoked pain, of moderate to severe intensity, continuous and described as burning or shooting. The first line treatment is pharmacological. However, botulinum toxin - A (BoNT-A) can be used when medications cannot control pain. This article describes the use of BoNT-A in a case of PTTN refractory to conventional pharmacological treatment. A 44-year-old male patient presented with an 8-years history of pain in the lower left second molar region. Pain was burning, lasting for seconds, with multiple pain episodes per day. Diagnosis hypothesis was PTTN. After no improvement with conventional pharmacological treatment, injections of BoNT-A were elected. Somatosensory assessment showed a significant reduction in visual analog scale for touch, cold and pinprick sensitivity. Likewise, patient's impression of change in pain significantly improved after BoNT-A injections. Our results suggest that BoNT-A could be used as a treatment for PTTN refractory to conventional treatments.KeywordsPost-traumatic trigeminal neuropathy; Trigeminal neuropathic pain; Botulinum toxin. |
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oai:ojs.pkp.sfu.ca:article/1800 |
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Brazilian Dental Science |
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Botulinum toxin-A injections as therapy for chronic painful post-traumatic trigeminal neuropathy: case reportPainful post-traumatic trigeminal neuropathy (PTTN) involves spontaneous and evoked pain, of moderate to severe intensity, continuous and described as burning or shooting. The first line treatment is pharmacological. However, botulinum toxin - A (BoNT-A) can be used when medications cannot control pain. This article describes the use of BoNT-A in a case of PTTN refractory to conventional pharmacological treatment. A 44-year-old male patient presented with an 8-years history of pain in the lower left second molar region. Pain was burning, lasting for seconds, with multiple pain episodes per day. Diagnosis hypothesis was PTTN. After no improvement with conventional pharmacological treatment, injections of BoNT-A were elected. Somatosensory assessment showed a significant reduction in visual analog scale for touch, cold and pinprick sensitivity. Likewise, patient's impression of change in pain significantly improved after BoNT-A injections. Our results suggest that BoNT-A could be used as a treatment for PTTN refractory to conventional treatments.KeywordsPost-traumatic trigeminal neuropathy; Trigeminal neuropathic pain; Botulinum toxin.Institute of Science and Technology of São José dos Campos2020-01-31info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentapplication/vnd.openxmlformats-officedocument.wordprocessingml.documentimage/tiffapplication/vnd.openxmlformats-officedocument.wordprocessingml.documenthttps://ojs.ict.unesp.br/index.php/cob/article/view/180010.14295/bds.2020.v23i1.1800Brazilian Dental Science; Vol. 23 No. 1 (2020): Jan. - Mar. - Published Jan. 2020; 5 p.Brazilian Dental Science; v. 23 n. 1 (2020): Jan. - Mar. - Published Jan. 2020; 5 p.2178-6011reponame:Brazilian Dental Scienceinstname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)instacron:UNESPenghttps://ojs.ict.unesp.br/index.php/cob/article/view/1800/1453https://ojs.ict.unesp.br/index.php/cob/article/view/1800/3766https://ojs.ict.unesp.br/index.php/cob/article/view/1800/3767https://ojs.ict.unesp.br/index.php/cob/article/view/1800/3768https://ojs.ict.unesp.br/index.php/cob/article/view/1800/3769https://ojs.ict.unesp.br/index.php/cob/article/view/1800/3770Copyright (c) 2020 Brazilian Dental Scienceinfo:eu-repo/semantics/openAccessDe la Torre Canales, GiancarloPoluha, Rodrigo LorenziFerreira, Dyna MaraStuginski-Barbosa, JulianaConti, Paulo Cesar Rodrigues2020-02-09T01:46:29Zoai:ojs.pkp.sfu.ca:article/1800Revistahttp://bds.ict.unesp.br/PUBhttp://ojs.fosjc.unesp.br/index.php/index/oaisergio@fosjc.unesp.br||sergio@fosjc.unesp.br2178-60112178-6011opendoar:2022-11-08T16:30:23.995297Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP)true |
dc.title.none.fl_str_mv |
Botulinum toxin-A injections as therapy for chronic painful post-traumatic trigeminal neuropathy: case report |
title |
Botulinum toxin-A injections as therapy for chronic painful post-traumatic trigeminal neuropathy: case report |
spellingShingle |
Botulinum toxin-A injections as therapy for chronic painful post-traumatic trigeminal neuropathy: case report De la Torre Canales, Giancarlo |
title_short |
Botulinum toxin-A injections as therapy for chronic painful post-traumatic trigeminal neuropathy: case report |
title_full |
Botulinum toxin-A injections as therapy for chronic painful post-traumatic trigeminal neuropathy: case report |
title_fullStr |
Botulinum toxin-A injections as therapy for chronic painful post-traumatic trigeminal neuropathy: case report |
title_full_unstemmed |
Botulinum toxin-A injections as therapy for chronic painful post-traumatic trigeminal neuropathy: case report |
title_sort |
Botulinum toxin-A injections as therapy for chronic painful post-traumatic trigeminal neuropathy: case report |
author |
De la Torre Canales, Giancarlo |
author_facet |
De la Torre Canales, Giancarlo Poluha, Rodrigo Lorenzi Ferreira, Dyna Mara Stuginski-Barbosa, Juliana Conti, Paulo Cesar Rodrigues |
author_role |
author |
author2 |
Poluha, Rodrigo Lorenzi Ferreira, Dyna Mara Stuginski-Barbosa, Juliana Conti, Paulo Cesar Rodrigues |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
De la Torre Canales, Giancarlo Poluha, Rodrigo Lorenzi Ferreira, Dyna Mara Stuginski-Barbosa, Juliana Conti, Paulo Cesar Rodrigues |
description |
Painful post-traumatic trigeminal neuropathy (PTTN) involves spontaneous and evoked pain, of moderate to severe intensity, continuous and described as burning or shooting. The first line treatment is pharmacological. However, botulinum toxin - A (BoNT-A) can be used when medications cannot control pain. This article describes the use of BoNT-A in a case of PTTN refractory to conventional pharmacological treatment. A 44-year-old male patient presented with an 8-years history of pain in the lower left second molar region. Pain was burning, lasting for seconds, with multiple pain episodes per day. Diagnosis hypothesis was PTTN. After no improvement with conventional pharmacological treatment, injections of BoNT-A were elected. Somatosensory assessment showed a significant reduction in visual analog scale for touch, cold and pinprick sensitivity. Likewise, patient's impression of change in pain significantly improved after BoNT-A injections. Our results suggest that BoNT-A could be used as a treatment for PTTN refractory to conventional treatments.KeywordsPost-traumatic trigeminal neuropathy; Trigeminal neuropathic pain; Botulinum toxin. |
publishDate |
2020 |
dc.date.none.fl_str_mv |
2020-01-31 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://ojs.ict.unesp.br/index.php/cob/article/view/1800 10.14295/bds.2020.v23i1.1800 |
url |
https://ojs.ict.unesp.br/index.php/cob/article/view/1800 |
identifier_str_mv |
10.14295/bds.2020.v23i1.1800 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
https://ojs.ict.unesp.br/index.php/cob/article/view/1800/1453 https://ojs.ict.unesp.br/index.php/cob/article/view/1800/3766 https://ojs.ict.unesp.br/index.php/cob/article/view/1800/3767 https://ojs.ict.unesp.br/index.php/cob/article/view/1800/3768 https://ojs.ict.unesp.br/index.php/cob/article/view/1800/3769 https://ojs.ict.unesp.br/index.php/cob/article/view/1800/3770 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2020 Brazilian Dental Science info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2020 Brazilian Dental Science |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document application/vnd.openxmlformats-officedocument.wordprocessingml.document image/tiff application/vnd.openxmlformats-officedocument.wordprocessingml.document |
dc.publisher.none.fl_str_mv |
Institute of Science and Technology of São José dos Campos |
publisher.none.fl_str_mv |
Institute of Science and Technology of São José dos Campos |
dc.source.none.fl_str_mv |
Brazilian Dental Science; Vol. 23 No. 1 (2020): Jan. - Mar. - Published Jan. 2020; 5 p. Brazilian Dental Science; v. 23 n. 1 (2020): Jan. - Mar. - Published Jan. 2020; 5 p. 2178-6011 reponame:Brazilian Dental Science instname:Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Brazilian Dental Science |
collection |
Brazilian Dental Science |
repository.name.fl_str_mv |
Brazilian Dental Science - Universidade Estadual Paulista Júlio de Mesquita Filho (UNESP) |
repository.mail.fl_str_mv |
sergio@fosjc.unesp.br||sergio@fosjc.unesp.br |
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1788346900864303104 |