title: [Atypical facial neuralgia or depressive facial pain. Diagnostic aspects of a well-demarcated form of masked depression].
abstract: In three paradigmatical cases the problem of the diagnosis "atypical face pain" is discussed. On clinical inpatients can be demonstrated, that behind an "atypical face pain" a chronic depressive illness can be hidden. The symptom "facial pain" in these cases is part of an oligosymptomatic depressive disorder. A special antidepressant therapy is necessary in the clinical management of these "masked depressions". Therefore it is necessary to be reserved on diagnosing an "atypical face pain". The exact analysis of psychopathological disturbances can prevent these patients who in reality suffer from depressive face pain from therapies in maxillary surgery or in dentistry etc. that are far from useful.
mesh_terms: D000368:Aged; D002997:Clomipramine / Q000627:therapeutic use; D003866:Depressive Disorder / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology; D003937:Diagnosis, Differential; D004359:Drug Therapy, Combination; D005156:Facial Neuralgia / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology; D005260:Female; D006801:Humans; D008376:Maprotiline / Q000627:therapeutic use; D013001:Somatoform Disorders / Q000175:diagnosis* / Q000188:drug therapy / Q000523:psychology
chemical_list: D008376:Maprotiline; D002997:Clomipramine
vernacular_title: "Atypische Gesichtsneuralgie" oder depressiver Gesichtsschmerz? Diagnostische Aspekte einer gut abgrenzbaren Form der larvierten Depression.