Background: Intracranial hypotension has been associated with a wide spectrum of neurological conditions including chronic non-aneurysmal and acute aneurysmal subarachnoid hemorrhage.
Case: A 59-year-old man presented with a non-aneurysmal subarachnoid hemorrhage in a perimesencephalic pattern after a mild physical exertion. In the course of the disease, a magnetic resonance imaging of head and spine displayed intracranial hypotension that resolved spontaneously.
Pelvic floor failure is a common disorder that can seriously jeopardize a woman's quality of life by causing urinary and fecal incontinence, difficult defecation, and pelvic pain. Multiple congenital and acquired risk factors are associated with pelvic floor failure, including altered collagen metabolism, female sex, vaginal delivery, menopause, and advanced age. A complex variety of fascial and muscular lesions that range from stretching, insertion detachment, denervation atrophy, and combinations of pelvic floor relaxation to pelvic organ prolapse may manifest in a single patient.
View Article and Find Full Text PDFA case of a patient with a fracture of the temporomandibular joint (TMJ) disk is reported. The patient presented with posterior bilateral open-bite and difficulty to chew due to lack of contact between the posterior teeth. Diagnosis of disk fracture of the right TMJ was made based on magnetic resonance imaging (MRI), with posterior displacement of the posterior fragment of the disk, causing the posterior open-bite, and anterior displacement of the anterior fragment of the disk.
View Article and Find Full Text PDFInt J Periodontics Restorative Dent
February 2012
The aim of this case report is to describe the history of a patient who received an injury to the right inferior alveolar nerve after placement of a dental implant, with bruxism noted afterward. The symptoms were managed by the use of an occlusal appliance worn at night and occasionally during the day, associated with increased awareness of parafunction during the day to reduce muscle pain and fatigue. Paresthesia of the teeth, gingiva, and lower lip persisted but were reduced during appliance use.
View Article and Find Full Text PDFPurpose: To evaluate the reliability of ultrasonography in the diagnosis of temporomandibular joint (TMJ) disorders.
Methods: A review of the literature was performed, searching for all articles published between 1966 and 2006, and examining the ones which met the selection criteria.
Results: Ultrasonography sensitivity ranged from 13-100% for the evaluation of disc displacement (DD), from 70.
J Contemp Dent Pract
March 2007
Aim: This report presents two cases diagnosed with atypical odontalgia (AO) and successfully treated with amitriptyline as well as providing a review of the current literature on the subject.
Results: The literature indicates the most important issue is an accurate differential diagnosis to distinguish between AO, pulpal pain, myofascial pain, and trigeminal neuralgia.
Conclusion: Once the correct diagnosis is made the prognosis of AO is usually fair and the administration of tricyclic antidepressants often resolves symptoms.
Migraine is defined as a primary headache; however, some reports may suggest a relationship with dental occlusion and dental parafunction (clenching or grinding of the teeth). A patient diagnosed with migraine with aura, with concomitant temporomandibular joint and masseter muscle pain, was treated by the use of a dental appliance. The treatment succeeded in eliminating headache and visual aura, and significantly reducing the other symptoms.
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