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Biomedical subjects

M N Puzin

Publications and source records attributed to M N Puzin.

At least 37 records · Page 2Linked to original sources

[Beta-endorphin levels in patients with pain syndromes in the areas of the face and head].

Blood plasma beta-endorphin concentrations were measured in 87 patients with various facial and head pain syndromes: trigeminal neuralgia or neuropathy Horner syndrome and migraine, facial autonomic pains. beta-endorphin concentrations were measured before and after treatment. In the groups under investigation, the neuropeptide showed opposite changes in plasma levels after the therapy depending on the type of the syndrome.

Adult↗

[Immunologic aspects of migraine headaches and autonomic prosopalgias].

The paper presents the results of an immunological screening of patients with facial vegetative neuralgia, Horton's syndrome, and migraines prior to and following therapy. The patients with migraines were found to have an activated local humoral immunity. Those from all the groups showed lower serum immunoglobulin A concentrations after therapeutic interventions.

Adult↗

[Odontogenic neuropathy of the trigeminal nerve].

The paper is concerned with the problems of the etiology, pathogenesis, clinical picture and methods of the treatment of odontogenic neuropathies of the trigeminal nerve. The clinical manifestations of odontogenic neuropathies of the trigeminal nerve are described in detail. The data on the preclinical methods of examination are provided as are pathogenetically based schemes of the treatment for odontogenic neuropathies of the trigeminal nerves.

Adult↗

[Immunological status of patients with painful syndromes in the face and head].

As many as 145 patients with painful syndromes in the face and head underwent immunologic examination. They manifested certain changes in cellular and humoral immunity. An increase in the content of secretory IgA in the saliva and in the serum and a decrease of the concentration of IgM and IgG in the serum were detected in the majority of patients. In patients with NTN of mainly peripheral genesis and with Horton's syndrome, the concentration of IgE in the serum was significantly (P less than 0.01) elevated. The changes in the immunologic status, seen in patients after the treatment are discussed.

Adult↗

[Somatosensory evoked potentials in patients with lesions of the trigeminal nerve system].

These are results of comparison of clinical data and parameters of early components of somatosensory evoked potentials (SSEP) in patients with various pathological disorders in the trigeminal nerve system. The investigations evidenced that neurologic patients have different degrees of disorders in structural-functional organization of trigeminal nerve system resulting from the disease itself and previous therapeutic interventions. Some of the peculiarities of SSEP changes, e.g., their amplitude and/or temporal asymmetry under stimulation of the sites of intact and afflicted sides of the face are believed to correspond to pathological changes in trigeminal nerve system. These features can serve as diagnostic and prognostic tests.

Adult↗

[Immunological aspects of trigeminal neuralgia].

Immunological investigation was performed in patients with trigeminal neuralgies and painful myofascial temporomandibular joint dysfunction before and after treatment. The data suggest a connection between the state of humoral immunity and the peculiarities of pain syndrome in trigeminal neuralgia and clinically related prosopalgies that was most probably due to different mechanisms of realization of pain syndrome.

Adult↗

[Prostaglandin E levels in patients with pain syndromes of the face and head].

The levels of E-type prostaglandins were measured in patients with facial and headaches. The data on the prostaglandin levels suggest that the severity of pain syndrome should be taken into consideration in relieving the pain, and then the nosology should be considered. The use of drugs influencing the prostaglandin turnover in treating patients with facial and headaches is discussed.

Adult↗

[Complex treatment of dental plexalgia using physiotherapeutic methods].

A total of 66 patients with dental plexalgia have been examined and treated at the neurological dentistry department. A multiple-modality scheme for the treatment of this condition is suggested, whose basic methods are physiotherapeutic ones: longitudinal physiotherapy, diadynamic currents with a narcotic mixture, trimecain or lydase + analgin electrophoresis. The treatment was effective in the majority of patients.

Adult↗

[Clinical picture and treatment of bilateral facial pain in lesions of the trigeminal nerve system].

A total of 104 patients with bilateral facial pain were examined at a specialized neurostomatological department. The authors analyze the main mechanisms of the development of bilateral facial pain in patients with an impaired system of the trigeminal nerve (trigeminal neuralgias, dental plexalgia, syndrome of the nosociliary nerve), as well as the characteristics of their clinical manifestations. A classification of bilateral prosopalgias is proposed. The criteria of their diagnosis with the use of clinical and electrophysiological methods of examination (EEG, REG, EMG, electrothermometry, esthesiometry, electrical excitability of the exit sites of the trigeminal nerve branches and radioisotopic examination of the muscular blood flow in the face with the help of 133Xe) are also presented. The main principles of the treatment of bilateral prosopalgias are outlined.

Adult↗

[Diagnosis and clinical manifestations of dental plexalgia].

The article considers characteristics of clinical manifestations of dental plexalgia, a new form of the disease related to impairment of dental plexuses. In a clinicophysiological study of 56 patients with dental plexalgia conducted at a neurostomatological department the authors used rheofaciography, thermometry and thermography of the face skin, esthesiometry, and electrodiagnosis of the oral mucosa. Electrodiagnosis of the oral mucosa helps to specify the diagnosis of dental plexalgia. The authors describe differential diagnosis criteria reflecting the peculiarities of the clinical picture of dental plexalgia which is characterized by the persistent pain in the area of the damaged plexus with peculiar irradiation which may be used for the diagnosis, rational etiopathogenetic therapy, prophylaxis, and prognosis of the disease.

Adult↗

[Reflexotherapy in neuralgias of the trigeminal nerve].

Acupuncture was used in 82 patients with trigeminal neuralgila. In 17 patients trigeminal neuralgia was predominantly of the central and in 65 of the peripheral genesis. Selection of points for acupuncture was based on the findings about electrical conductivity of symmetrical acupuncture points on the patient's face. The study has shown that the method of acupuncture in patients with trigeminal neuralgia should be used differentially. It is effective only in patients with peripheral trigeminal neuralgia.

Acupuncture Therapy↗