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5% lidocaine medicated plaster double effect in a case of orofacial localized neuropathic pain

Localized neuropathic pain (LNP) is a type of neuropathic pain that is characterized by “consistent and limited area(s) of maximum pain associated with negative or positive sensory signs and/or spontaneous symptoms characteristic of neuropathic pain”. This definition encompasses a huge number of neu...

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Autores principales: Casale, Roberto, Romanenko, Yuriy, Allegri, Massimo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove Medical Press 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4247146/
https://www.ncbi.nlm.nih.gov/pubmed/25473307
http://dx.doi.org/10.2147/JPR.S70317
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author Casale, Roberto
Romanenko, Yuriy
Allegri, Massimo
author_facet Casale, Roberto
Romanenko, Yuriy
Allegri, Massimo
author_sort Casale, Roberto
collection PubMed
description Localized neuropathic pain (LNP) is a type of neuropathic pain that is characterized by “consistent and limited area(s) of maximum pain associated with negative or positive sensory signs and/or spontaneous symptoms characteristic of neuropathic pain”. This definition encompasses a huge number of neuropathic orofacial pain syndromes. We present a case report of a patient who was affected with sleep apnea syndrome treated with nocturnal oxygen mask delivery, in whom orofacial LNP hampered the wearing of a mask due to unbearable burning and throbbing pain. The application of 5% lidocaine medicated plaster during the night led to an impressive reduction of both the pain level and the size of the painful area due to the plaster’s pharmacological mechanisms, which were associated with a secondary benefit due to its mechanical protective action. This case report shows how these two factors could be of clinical value and have to be considered more systematically in the treatment of LNP in reducing pain and the size of the painful area.
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spelling pubmed-42471462014-12-03 5% lidocaine medicated plaster double effect in a case of orofacial localized neuropathic pain Casale, Roberto Romanenko, Yuriy Allegri, Massimo J Pain Res Case Report Localized neuropathic pain (LNP) is a type of neuropathic pain that is characterized by “consistent and limited area(s) of maximum pain associated with negative or positive sensory signs and/or spontaneous symptoms characteristic of neuropathic pain”. This definition encompasses a huge number of neuropathic orofacial pain syndromes. We present a case report of a patient who was affected with sleep apnea syndrome treated with nocturnal oxygen mask delivery, in whom orofacial LNP hampered the wearing of a mask due to unbearable burning and throbbing pain. The application of 5% lidocaine medicated plaster during the night led to an impressive reduction of both the pain level and the size of the painful area due to the plaster’s pharmacological mechanisms, which were associated with a secondary benefit due to its mechanical protective action. This case report shows how these two factors could be of clinical value and have to be considered more systematically in the treatment of LNP in reducing pain and the size of the painful area. Dove Medical Press 2014-11-24 /pmc/articles/PMC4247146/ /pubmed/25473307 http://dx.doi.org/10.2147/JPR.S70317 Text en © 2014 Casale et al. This work is published by Dove Medical Press Limited, and licensed under Creative Commons Attribution – Non Commercial (unported, v3.0) License The full terms of the License are available at http://creativecommons.org/licenses/by-nc/3.0/. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed.
spellingShingle Case Report
Casale, Roberto
Romanenko, Yuriy
Allegri, Massimo
5% lidocaine medicated plaster double effect in a case of orofacial localized neuropathic pain
title 5% lidocaine medicated plaster double effect in a case of orofacial localized neuropathic pain
title_full 5% lidocaine medicated plaster double effect in a case of orofacial localized neuropathic pain
title_fullStr 5% lidocaine medicated plaster double effect in a case of orofacial localized neuropathic pain
title_full_unstemmed 5% lidocaine medicated plaster double effect in a case of orofacial localized neuropathic pain
title_short 5% lidocaine medicated plaster double effect in a case of orofacial localized neuropathic pain
title_sort 5% lidocaine medicated plaster double effect in a case of orofacial localized neuropathic pain
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4247146/
https://www.ncbi.nlm.nih.gov/pubmed/25473307
http://dx.doi.org/10.2147/JPR.S70317
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