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Low Vitamin B12 Syndrome in Trigeminal Neuralgia
Trigeminal neuralgia (tic douloureux) is a disorder of the fifth cranial (trigeminal) nerve that causes episodes of intense, stabbing, electric shock-like pain in the areas of the face where the branches of the nerve are distributed - lips, eyes, nose, scalp, forehead, upper jaw, and lower jaw. The International Association for .. Read More
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Lipid Emulsion as First Line Treatment in Ropivacain Induced Neurologic Toxicity
A 67 year old female patient presented with new neurological deficits (clonic movements, progressive confusion, dysarthria) and hemodynamic instability (hypotension, sinus tachycardia) immediately after uneventful performance of a sciatic block. Prompt infusion of a 100 ml intralipid emulsion in addition to a single bolus of 100.. Read More
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Rare and Serious Side Effects in Chronic Pain after Opioids
Opioids have been used since centuries for relief of both acute and chronic pain. The known and established side effects associated with usage of opioids such as nausea, vomiting, pruritis, respiratory depression, constipation, urinary retention, sedation and addiction constitute the main limitation while titration of the doses... Read More
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Background: Intrathecal opioid infusion therapy has been increasingly utilized in patients with severe malignant and nonmalignant pain syndromes in the past few decades. By infusing small amount of analgesics directly into the cerebrospinal fluid (CSF) in close proximity to the receptor site in the spinal cord, spinally mediated.. Read More
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Purpose: We investigated whether intraoperative intravenous acetaminophen has the potential to reduce pain after ambulatory surgery and reduce time to discharge from the post anaesthesia care unit and hospital. Methods: We tested this hypothesis by conducting a prospective randomized, double-blind clinical trial in patients und.. Read More
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The conventional techniques of neurolytic celiac plexus block (NCBP) sometimes cannot be used in patients who have organomegaly, or not be able to tolerate the prone position necessary to place the needles; also anatomic anomalies may hinder obliquely placed needles from effectively reaching the target area. Complications such a.. Read More
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Rapid Resolution of Chronic Back Pain with Magnesium Glycinate in a Pediatric Patient
A 10-year-old male presented to a pediatric complex chronic pain clinic with debilitating back pain associated with vertebral compression fractures secondary to corticosteroid-induced osteoporosis. The pain failed to respond to routine analgesics and zoledronic acid. Oral magnesium glycinate and topical magnesium/guaifenesin cre.. Read More
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