Takotsubo syndrome (TTS) is a rare, stress‐induced acute cardiac disorder. Its precipitating factors include emotionally or physically stressful events and exogenous and endogenous adrenaline. In this report, we describe a case of atypical TTS in a 73‐year‐old woman who reported no dental fear and required acute cardiac care in an outpatient setting. She underwent routine extraction of an upper left premolar under local anesthesia. She reported heart palpitations after the injection, and the procedure was completed in 15 min. After presenting symptoms of sweating, pale skin, vomiting, low blood pressure, and ST‐segment elevation, cardiologists ordered echocardiography, coronary angiography, and ventriculography. Upon receiving a TTS diagnosis, the patient was hospitalized and administered an intra‐aortic balloon pump and beta‐blocker. Her symptoms resolved, and she was discharged with no sequelae. We found no precipitating factors in the progression of TTS in this case, which suggests that TTS can develop in the absence of precipitating factors. All general dentists and oral surgeons should recognize the possible risk of TTS, even during minimally invasive dental procedures, such as routine extractions in patients without dental phobia.
Since hyperplastic aponeurosis and tendons cause limited muscle
extension, patients with masticatory muscle tendon-aponeurosis
hyperplasia (MMTAH) experience a limited mouth opening ability due to
restrictions in muscle extension. Therefore, this article discusses five
patients of MMTAH who underwent bilateral aponeurotomy combined with
coronoidectomy in our department.
Glossopharyngeal neuralgia (GN) is a rare painful condition characterized by brief paroxysmal attacks in the glossopharyngeal nerve distribution. It is triggered by chewing, coughing, talking and swallowing. We report a rare case of combined trigeminal neuralgia and GN triggered by taste stimulation. A 63-year-old man was referred to our hospital with a complaint of sharp left mandibular and submandibular pain caused only by eating sour or salty foods. Computed tomography and sialography revealed a slight salivation disorder but no salivary gland disease. The symptom was not improved by salivary gland massage, and we then examined each pain area using the selective anesthesia test. As the symptoms were improved by topical anesthesia to the tongue root region, we made a diagnosis of GN. Furthermore, magnetic resonance imaging and angiography revealed compressions of the left glossopharyngeal nerve and left trigeminal nerve by the left anterior inferior cerebellar artery and left anterior superior cerebellar artery, respectively, based on which we diagnosed a combination of trigeminal neuralgia and GN. Treatment with carbamazepine relieved the pain favorably; however, the medication was discontinued due to drug eruption. Finally, we performed microvascular decompression for both nerves, after which the patient immediately experienced complete pain relief.
Diffuse sclerosing osteomyelitis of the mandible (DSO) is the intractable inflammatory disease of bone, characterized by recurrent pain, swelling, and trismus in the absence of pus formation, fistula, or sequestration. Radiographically, it presents as intermingled sclerotic and osteolytic lesions with solid periosteal reaction or external bone resorption. Various hypotheses have been discussed about the etiology, including an immunologic reaction to microbial stimuli, chronic tendo-periostitis owing to muscular overuse and as part of systemic syndrome such as chronic recurrent multifocal osteomyelitis (CRMO) or SAPHO syndrome. This clinical review of DSO focuses on the diagnostic criteria, the relationship with CRMO and SAPHO syndrome, the transition of the etiology and various therapies and the effect. In addition, this review shows the low dose pamidronate disodium therapy for DSO in our facility.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.