vitamin-b-12 and Trigeminal-Neuralgia

To probe a better method for treatment of trigeminal neuralgia. Methods One hundred and four cases of trigeminal neuralgia were randomly divided into a treatment group (n=57) and a control group (n=47). The treatment group were treated witb acupoint injection of 2000 microg of VitB12, with Xiaguan (ST 7) selected as main point, and the control group witb oral administration of Carbamazepine. The therapeutic effect were analyzed after 3 tberapeutic courses.. Tbe cured and markedly effective rate and the effective rate were 82.5% and 98.2% in the treatment group, and 57.4% and 8O.9% in the control group, with a very significant difference between the two groups (P < 0.01). After treatment, there was a very significant difference in the cumulative score of pain between the two groups (P < 0.01).. Acupoint injection of VitB12 has a better therapeutic effect than that of oral administration of Carbamazepine.

Topics: Acupuncture Points; Adult; Aged; Female; Humans; Injections; Male; Middle Aged; Trigeminal Neuralgia; Vitamin B 12

Study reported an extremely rare case of trigeminal neuralgia, vestibular paroxysmia, and hemifacial spasm successively occurring in a patient with vertebrobasilar dolichoectasia (VBD).. A 66-year-old female patient presented with episodic vertigo for 20 days before she was admitted to our hospital. Vertigo suddenly occurred when the patient rotated her head 20 days ago, the symptoms of vertigo were improved after continuous 1 to 3 seconds, and similar symptoms were repeated in sleep and rest, with a frequency of 30 to 40 times per day. The patient had a history of hypertension with poor blood pressure control for more than 20 years.. The final diagnosis was vertebrobasilar dolichectasia, right trigeminal neuralgia, and vestibular paroxysmia.. Vitamin B1 (10 mg), methylcobalamin (0.5 mg), and carbamazepine (0.1 g) were given orally 3 times a day to relieve the symptoms.. On the seventh day of drug treatment, the symptoms of paroxysmal vertigo and trigeminal neuralgia were completely relieved, but occasional episodes occurred during the follow-up period. Five months after discharge, right hemifacial spasm appeared in the patient, which did not affect the quality of life of the patient, so the patient did not choose further treatment. Six months after discharge, the patient was lost to follow-up.. Comprehensive treatment to control VBD risk factors, delay the progression of VBD, and improve clinical symptoms may have a better effect on such patients. However, further research is needed.

Topics: Aged; Analgesics, Non-Narcotic; Basilar Artery; Carbamazepine; Clinical Protocols; Female; Hemifacial Spasm; Humans; Lost to Follow-Up; Thiamine; Trigeminal Neuralgia; Vertebral Artery; Vertebrobasilar Insufficiency; Vertigo; Vitamin B 12; Vitamin B Complex

Topics: Acupuncture Points; Acupuncture Therapy; Adult; Aged; Female; Follow-Up Studies; Humans; Injections; Lidocaine; Male; Middle Aged; Recurrence; Thiamine; Trigeminal Neuralgia; Vitamin B 12

Topics: Dibenzazepines; Drug Therapy, Combination; Humans; Pyridoxine; Thiamine; Trigeminal Neuralgia; Vitamin B 12

Topics: Analgesics; Back Pain; Brachial Plexus Neuritis; Delayed-Action Preparations; Drug Combinations; Female; Humans; Lumbosacral Region; Male; Osteoarthritis; Periarthritis; Phantom Limb; Pyrazoles; Pyridoxine; Sulfonic Acids; Thiamine; Trigeminal Neuralgia; Vitamin B 12; Vitamin B Complex

Topics: Adult; Age Factors; Aged; Analgesics; Carbamazepine; Ethanol; Female; Follow-Up Studies; Humans; Hypertension; Male; Middle Aged; Minnesota; Multiple Sclerosis; Neoplasms; Phenytoin; Sex Factors; Trigeminal Neuralgia; Vitamin B 12

Topics: Adult; Aged; Analgesics; Female; Humans; Male; Middle Aged; Neuralgia; Otorhinolaryngologic Diseases; Pain; Pyridoxine; Reflex Sympathetic Dystrophy; Spinal Diseases; Thiamine; Trigeminal Neuralgia; Vitamin B 12

Topics: Anticonvulsants; Diagnosis, Differential; Ethanol; Humans; Mandibular Neoplasms; Pulpitis; Sinusitis; Trigeminal Nerve; Trigeminal Neuralgia; Vitamin B 12

Topics: Adult; Aged; Analgesics; Chlorpromazine; Female; Humans; Hypotension; Injections, Intramuscular; Male; Middle Aged; Procaine; Thiamine; Trigeminal Neuralgia; Vitamin B 12

Topics: Adenine Nucleotides; Drug Synergism; Female; Humans; Male; Middle Aged; Phenothiazines; Piperazines; Thiamine; Trigeminal Neuralgia; Vitamin B 12

Topics: Amyotrophic Lateral Sclerosis; Catatonia; Erectile Dysfunction; Fatigue; Hemiplegia; Humans; Male; Mental Disorders; Neuritis; Paralysis; Spinal Cord; Thiamine; Trigeminal Neuralgia; Vitamin B 12; Vitamin B Complex

Topics: Corrinoids; Niacin; Nicotinic Acids; Procaine; Trigeminal Neuralgia; Vitamin B 12

Topics: Trigeminal Neuralgia; Vitamin B 12

Topics: Herpes Zoster; Humans; Nervous System Diseases; Neurology; Pain; Phantom Limb; Trigeminal Neuralgia; Vitamin B 12

Topics: Chlorophyll; Cobalt; Hematinics; Neuritis; Trigeminal Neuralgia; Vitamin B 12

Topics: Hematinics; Trigeminal Neuralgia; Vitamin B 12

Topics: Corrinoids; Facial Pain; Hematinics; Trigeminal Neuralgia; Vitamin B 12

Topics: Anticonvulsants; Corrinoids; Diagnosis, Differential; Hematinics; Hydantoins; Imidazoles; Trigeminal Neuralgia; Vitamin B 12

Topics: Anticonvulsants; Corrinoids; Diagnosis, Differential; Hematinics; Hydantoins; Imidazoles; Trigeminal Neuralgia; Vitamin B 12

Topics: North Carolina; Trigeminal Neuralgia; Vitamin B 12

Topics: Corrinoids; Hematinics; Trigeminal Neuralgia; Vitamin B 12

Topics: Corrinoids; Hematinics; Trigeminal Neuralgia; Vitamin B 12