ABSTRACT
One hundred seventeen patients, aged 16-75 years, with orofacial pains were studied. Borderline psychic disorders were detected in 106 cases, schizophrenia--in 11 cases. Facial pain was characterized by (1) polymorphism of sensations changing their site and duration, (2) absence of orofacial sensory deficits, (3) symptoms "mosaic"--a combination of separate signs specific for various "organic" facial pain, (4) absence of objective changes in oral cavity and facial region, (5) key role of psychoemotional factors in pain recurrence and intensification, (6) non-opioid analgesics and carbamazepine inefficacy. A systematics for facial pains of psychic genesis, comprising two groups of disorders, was elaborated. The first group includes facial pain and odontalgia in borderline psychic disorders--neurotic (somatoform, hypochondriac and hysteric) disorders, affective ones (mild depressive episodes and dystimia) and paranoic personality disorder. The second group comprises orofacial cenesthopathies in neurotic-like (schizotypal disorders) and paranoid types of schizophrenia.
Subject(s)
Facial Pain/etiology , Mental Disorders/psychology , Adolescent , Adult , Aged , Chronic Disease , Diagnosis, Differential , Facial Pain/diagnosis , Female , Humans , Male , Mental Disorders/diagnosis , Middle Aged , Pain Measurement , Severity of Illness IndexABSTRACT
33 patients with benign prostatic hyperplasia (BPH) were exposed to hyperbaric oxygenation (HBO) and SHF waves. Group 1 patients had no prostatic inflammation, group 2 patients had combination of BPH with chronic prostatitis. Both these modalities are considered as to mechanism of action at different periods of the development of urination disturbances. The combined therapy imposed a positive trend in urination parameters, especially evident in group 2 patients. In them mean urination frequency reduced from 14.8-8.5 times to 6.3, mean urine volume increased from 83.6 to 199 ml. Index I-PSS fell in group 1 by 2 and group 2 by 6.4 scores. L index of quality of life declined by 1.2 and 1.6 scores in groups 1 and 2, respectively. It is inferred that combined use of HBO and SHF therapy is highly effective in urination disorders in patients with BPH suffering from or without chronic prostatitis.
Subject(s)
Hyperbaric Oxygenation , Microwaves/therapeutic use , Prostatic Hyperplasia/therapy , Prostatitis/therapy , Aged , Chronic Disease , Combined Modality Therapy , Humans , Hyperbaric Oxygenation/methods , Male , Middle Aged , Treatment OutcomeABSTRACT
The authors describe the characteristic features of vertebrobasilar insufficiency of circulation and its distress by the ischemic type, mainly in the inferior posterior cerebellar artery, seen in patients with cervical osteochondrosis coupled with atherosclerosis occurring at an elderly age. The patients manifested predominance of cerebellar symptomatology pertaining to the inferior limbs and to the body. That might be accounted for by partial derangement of the fibers of the spinocerebellar bundles in the inferior vermis. The patients' status was characterized by a favourable course and outcome, with the cerebellar symptoms alone being steadily retained.
