[Cenesthesia as a rare differential diagnosis of persistent idiopathic facial pain].
Cenesthesia is portrayed as a rare differential diagnosis to persistent idiopathic facial pain, including the resulting therapy with antipsychotics. In this case report a female patient developed persistent facial pain 2 years after manifestation of a depressive disorder. The symptoms appeared as a bizarre pain phenomenon closely resembling the psychotic phenomenon of cenesthesia (body hallucinations). Treatment with imipramine and doxepin or a combination of venlafaxin, carbamazepine, and tilidine N had not been successful. Based on diagnostic classification of the complaint as cenesthesia in the context of a depressive disorder, add-on therapy of the atypical antipsychotic ziprasidone was administered. This led to clear improvements in mood and pain symptoms after 4 weeks of treatment.
Steiner
J
J
Klinik für Psychiatrie und Psychotherapie, Otto-von-Guericke-Universität Magdeburg. johann.steiner@medizin.uni-magdeburg.de
Bogerts
B
B
Hoffmeyer
D
D
Brinkers
M
M
D002908:Chronic Disease; D003937:Diagnosis, Differential; D005156:Facial Neuralgia / Q000145:classification / Q000175:diagnosis* / Q000209:etiology*; D005260:Female; D006212:Hallucinations / Q000145:classification / Q000150:complications* / Q000175:diagnosis*; D006801:Humans; D008875:Middle Aged; D035583:Rare Diseases / Q000145:classification / Q000150:complications / Q000175:diagnosis