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— Trigeminal Nerve Distribution and Trigger Points 

— Trigeminal Nerve Distribution and Trigger Points 

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A 40-year-old woman presented with protrusion and diminution of vision of left eye for 3 months. CT scan of orbit revealed an intra-orbital cystic space occupying lesion. Exenteration of the left orbit was done and histopathological examination of the cystic mass proved it to be a case of hydatid cyst.

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... 55-year-old woman pre- sented, with a painless, progressive swelling at the inner aspect of the right upper lid of three years' dura- tion (Fig ...
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... neuralgia The trigger factors may be extra-oral such as washing face, shaving, applying make-up, wind, transmit- ted mechanical vibrations, or intra-oral such as brushing teeth, chewing food, and drinking. The site of pain and the trigger areas usually coincide, but occasionally the site of pain may be distant to the site of stimulation (Fig 1). The episodes of pain characteristi- cally do not occur dur- ing sleep. There may be exacerbation of pain in the morning hours. This has been attrib- uted to either a “wear- ing-off” effect of medi- cations in patients on treatment or to activi- ties leading to relatively more stimulation during the morning hours after a period of prolonged inactivity in drug naïve patients. Brief refrac- tory period following an attack have been observed by some patients who try to utilize it by voluntary stimulating the “trigger areas” be- fore performing an action over that part of face. The distribution of pain in patients of trigeminal neural- gia is unilateral and follows the sensory distribution of the respective division of the trigeminal nerve in isolation or combination. Bilateral manifestations are rare in classical trigeminal neuralgia but may sometimes be seen in multiple sclerosis. The second or the third divisions of the trigeminal nerve are most commonly involved; combinations of first and second division, second and third division or of all three divisions are less common. Solitary involvement of first division occurs in less than 5% cases and was previ- ously indicative of symptomatic trigeminal neuralgia 1,7 . The distribution of pain in trigeminal neuralgia respects the ana- tomic boundaries and the involvement of non-contiguous divisions (first and third) should be taken with ...
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... Primary angitis of the CNS : This is a vasculitis essentially confined to nervous system. They are basi- cally of two types (Fig ...
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... evaluate effectiveness of 200 mg elemental iron once per week for prophylaxis in non-anaemic pregnant women, a prospective longitudinal study with observational design was carried out at a tertiary care teaching hospital. Fifty pregnant women received daily (group 1) and 50 pregnant women received weekly (group II) oral therapy (100 mg elemental iron, 1.5 mg folic acid and 15 mg of vitamin B12). Haemoglobin, PCV estimation were carried out during follow-up periods at 4, 8 and 14 weeks. Iron profile (serum iron, TIBC, serum ferritin) estimation was done before and after 14 weeks of iron ...
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... model designed to conceptualise how these membrane properties are regulated by the mem- brane components is presented in Fig 1. Studies of both biochemically perturbed membranes and mem- branes from particular disease states have shown that deformability and stability can change with no fixed relation to one another. This observation indicates that these two properties must be regulated by different skeletal protein ...
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... uring its passage through the circulation, an erythro- cyte that is 7 to 8 microns in diameter must elongate, tank tread, and otherwise deform to pass through 3 micron diameter capillaries and 2 to 3 micron slits in the reticulo- endothelial sinusoids (Fig 1). Thus, during its 120-day life span, the erythrocyte must undergo extensive passive de- formation and must be stable to resist ...
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... — Conservative treatment with nasogastric suc- tion, intravenous fluids and antibiotics were started. As there was no significant clinical improvement, exploratory laparotomy was undertaken. A right ovarian mass of 7 cm x 7 cm size with evidence of torsion and gangrenous changes was noted (Fig 1). Another solid ovarian mass about 6 cm x 6cm in size was noted on the left side. The ovarian tumours showed no surface excrescences or any adhe- sions. Uterus appeared normal. Abdominal exploration revealed no other abnormality. Right salpingo-oophorectomy was performed initially. An attempt for left ovarian cystectomy was converted to left salpingo-oophorectomy as no re- sidual ovarian tissue could be identified. This case was classified as Ann Arbor stage 1. Her postoperative period was uneventful. Histopathology — Gross examina- tion revealed, smooth ovarian tumours which are grayish white in colour, ho- mogenous and firm in ...

Citations

... Hydatid cyst caused by Echinococuss granulosus is a zoonotic disease endemic in under develop countries (Lentzsch et al., 2016). The predilection sites of the cyst are lungs, liver and striated muscles of the humans and animals (Bhaduri et al., 2011). However, the orbital involvement of the cyst has also been reported in human patients previously (Wei et al., 2005) who had been exposed to grazing area of sheep herd. ...
... This is the rare case of intraorbital hydatid cyst in a male sheep. Despite of its high prevalence in under develop areas of the world (Turgut et al., 2004;Ciurea et al., 2006;Bhaduri et al., 2011;Lentzsch et al., 2016;Chtira et al., 2019) there is no literature demonstrated the intraorbital involvement of the cyst in veterinary patients. This report concerns a ram (male sheep) with a primary hydatid cyst in the orbit. ...
Chapter
Hydatidosis of the orbit has been reported in about 1 % of all cases of hydatid disease. Its prevalence has been reported from 0.3 to 5 % of all the orbital diseases in the literature. Usually the cyst is located in the intraconal space of the orbit. Hydatidosis is common among children and young adults, who usually present with unilateral, progressive axial proptosis of a few months' duration, associated with pain or discomfort and defective vision. Clinical suspicion and appropriate investigations are important. Serology may be positive but imaging is definitive for diagnosis. Computed tomography scan of orbit is preferred over orbital ultrasonography. Evaluation for associated systemic hydatidosis is mandatory. If neglected, the cyst can assume a very large size and lead to total loss of vision. Surgical excision of the cyst is recommended which is facilitated by aspiration of the fluid from the cyst after the cyst wall has been exposed and cryoextraction. Other modalities include percutaneous aspiration and injection of hypertonic saline and reaspiration and medical management.