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. Interincisal distance was measured as to how wide the subject could open (using the distance between the biting edge of the upper and lower central incisors) without pain or discomfort. Following surgery, the study coordinator contacted each subject on days 7 and 14 to administer the postoperative questionnaire. Primary outcome measures for each of the 3 assessment points (baseline, 7, and 14 days) included a report of TMD pain (jaw, jaw joint, or face pain), both with and without headache, a report of TMD nonpain symptoms (clicking, grinding, locking, or pressure

tongue pain mostly as a burning sensation that continued all day. The patient’s symptoms were exacerbated when talking but were reduced whenever she ate. Besides the tongue pain, she also complained of headaches and dry mouth, although a quantitative saliva test demonstrated results within normal limits (Saxon test: 3.94 g/2 min; normal ≥2.75 g/2 min). Extraoral and intraoral examinations revealed no obvious problems except a scalloped tongue ( Figure ). A panoramic radiograph was obtained, but it did not reveal any pathological findings. Table 1

was expected to be short, and the possibility of significant bleeding during surgery was very low, urethral catheterization was not carried out on the patient. When a dental anesthesiologist visited the patient 2 hours after transport to the dental ward, the patient reported no eye symptoms. The patient complained of mild postoperative pain but required little pain medication. At 9 hours postoperatively, however, the patient complained of nephelopsia and headache, and a high blood pressure reading of more than 180/90 was also observed. As red eyes, nausea

, neuropathic pains—either atypical forms of trigeminal neuralgia or so-called deafferentation pains associated with alteration in pain transduction, transmission, or modulation. Common neurovascular pains include migraine, tension-type headache, cluster headache, and the numerous variants associated with each of these headaches. Because of the wide variety of conditions, many different medication classes are utilized. It should be noted that there are many sources of chronic orofacial pains—for example, those that arise from ocular, salivary gland, nasal mucosal and

A Case of the Wegener's Granulomatosis Presenting with Cluster Headache Background: Wegener's granulomatosis (WG) is a disorder of the upper airway, lungs, and kidneys, characterized histologically by necrotizing granulomas and vasculitis and, occasionally, headaches. Some clinical and histological characteristics of WG are not well known because WG is a rare disorder. We report a case of WG complicated with Cluster Headache (CH). Patient: A 41-year-old man complained about left hemifacial pain. Previously, he was treated for left maxillary

chronic. Of particular interest are topics such as myofacial pain, fibromyalgia, cancer pain, postoperative pain, chronic pain in the elderly, trauma, and headache. The final chapter is titled “Potential Future Analgesics” and briefly discusses cannabinoids, especially their analgesic and anti-inflammatory effects. They may augment the effects of opioids four- to fivefold perhaps by blocking NMDA-mediated pain by a blockade of the 2 cannabinoid receptors. Also, purines such as adenosine are discussed, as are neuronal nicotinic acetylcholine agonists, N

the need for additional support or treatment. In general, hemolysis is seen 1 to 3 days after contact with triggering factors. Acute hemolysis is self-limited, but in rare instances it can be severe enough to warrant a blood transfusion. 24 The patient may develop cyanosis, headache, fatigue, tachycardia, dyspnea, lethargy, lumbar/substernal pain, abdominal pain, splenomegaly, hemoglobinuria, and/or scleral icterus. 3 , 23 , 25 Also, the breakdown products of hemoglobin will accumulate in the blood, causing jaundice, and they can be excreted in the urine, causing

Cryopyrin-associated periodic syndrome (CAPS) is a rare autosomal dominant inherited disorder comprised of 3 phenotypes and characterized by repetitive systemic inflammation. Familial cold autoinflammatory syndrome (FCAS) is 1 phenotype of CAPS with symptoms that include fever, fatigue, rashes, headaches, and arthralgia. 1 FCAS/CAPS symptoms are triggered by cold stimulation and continue for a few hours or several days. In the case presented below, we prewarmed the patient before anesthesia induction and monitored her core and peripheral

noxious stimuli compared with males. However, numerous papers have suggested that changes in the balance of reproductive hormones may cause a greater sensitivity to pain, possibly related to the female-specific biological phenomenon of menstruation. One study reported that healthy females might have higher sensitivity to pain just before and after menstruation, because reproductive hormones increase sensitivity to pain in various circumstances. 28 Other studies have reported similar increased sensitivity for headache and myofascial pain. 29 , 30 After menopause

for reconstruction of a bone defect. Epidural anesthesia is widely used to give postoperative analgesia in these cases. Although epidural anesthesia allows persistent postoperative analgesia and differential anesthesia, there are several drawbacks, such as hypotension, bradycardia, urinary retention, and headache, during epidural anesthesia. To overcome these drawbacks of epidural anesthesia, we placed one or two epidural catheter(s) on the fascia of the flap donor site or on the periosteum of the iliac bone. Postoperative analgesia was established using a