tailieunhanh - Báo cáo y học: "Treatment resistant trigeminal neuralgia relieved with oral sumatriptan: a case report"

TTuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: reatment resistant trigeminal neuralgia relieved with oral sumatriptan: a case report | JOURNAL OF MEDICAL Sr CASE REPORTS Open Access Case report Treatment resistant trigeminal neuralgia relieved with oral sumatriptan a case report JA Moran1 and A Neligan2 Address department of General Practice Brookfield Health Sciences Centre University College Cork Cork Ireland and 2UCL Institute of Neurology 33 Queens Square London WC1N 3BG UK Email AN - JM - Corresponding author Published 8 May 2009 Received 9 June 2008 Journal of Medical Case Reports 2009 3 7229 doi 1752-1947-3-7229 Accepted 4 February 2009 This article is available from http jmedicalcasereports article view 7229 2009 Moran and Neligan licensee Cases Network Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Treatment-resistant trigeminal neuralgia is a distressing condition for both the patient and the treating doctor. To our knowledge there are no reported cases of trigeminal neuralgia successfully treated with oral sumatriptan in the literature. Case presentation A 51 -year-old Caucasian woman was prescribed opiate analgesia for management of her treatment-resistant trigeminal neuralgia. Given the possible harmful effects of initiating such a course of treatment a speculative therapeutic trial with oral sumatriptan was initiated with a successful outcome. Conclusion This case raises the hypothesis that oral sumatriptan may be an effective drug in the treatment of trigeminal neuralgia. Further research is required to test this theory. Introduction One of the challenges in primary care is the ongoing management of patients with chronic painful syndromes who have not responded to the standard treatment regimens. Polypharmacy multiple speciality referrals patient dissatisfaction depression