口腔セネストパチーの2症例

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Cenesthopathy is characterized by abnormal sensations sites in the body, which cannot be explained neurologically at various persistent. Symptoms are persistent. These sensations range from cenesthopathy in the narrow sense with only one symptom to cenesthopathy in the wide sense in which partial symptoms of depression, schizophrenia, neurosis, the acute exogenic reaction type, etc. appear. These symptoms are often seen in the head and neck regions. In the present study, we investigated two cases of cenesthopathy with symptoms in the oral cavity. Case 1 was a 67 year-old female whose main symptom was the sensation of insects of various shapes moving around in her mouth, permanently attaching themselves to the teeth. After one month of diminished in size administration per os, sulpyride, the affected site and after 4 months. As a result of this symptom, was only a stretched feeling of the lower lip. As a result of this symptom, however, this patient developed hypochondria. Case 2 was a 68 year-old female who was unable to walk without assistance for about 2 years because of chronic rheumatoid arthritis of 20 years duration. For about 4 months she had felt that a long thin pointed object had pierced an area with pain of unknown origin in the region of the upper molars, and that this object had gone deep into the buccal mucosa and could not be removed. She was administered sulpiride as there was also mental depression. On the 5 th day, the longstanding pain disappeared. Thereafter, the drug was changed to maprotiline and the background depression was completely alleviated. Both of these patients recognized that their condition was of an irrational nature.

口腔セネストパチーの2症例

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