title: Improvement of asymmetrical temporal blood flow in refractory oral somatic delusion after successful electroconvulsive therapy.
abstract: Oral cenesthopathy is a somatic delusion in the oral area and categorized as delusional disorder, somatic type. Patients experience unusual and annoying sensations in the mouth such as pulling on the teeth, moving teeth, overly secreting mucus, tingling and pain, and so on, without a somatic base. The condition is usually treatment-resistant and impairs patients' quality of life. We report a case of oral cenesthopathy successfully treated with the modified electroconvulsive therapy, who demonstrated altered regional cerebral blood flow before and after the treatment detected by single-photon emission computed tomography.
authors: Section of Psychiatry and Behavioral Sciences, Department of Sleep Modulatory Medicine, Tokyo Medical and Dental University Graduate School, Tokyo, Japan.
authors: Akihito
authors: A
authors: Uezato
authors: Naoki
authors: N
authors: Yamamoto
authors: Akeo
authors: A
authors: Kurumaji
authors: Akira
authors: A
authors: Toriihara
authors: Yojiro
authors: Y
authors: Umezaki
authors: Akira
authors: A
authors: Toyofuku
authors: Toru
authors: T
authors: Nishikawa
mesh_terms: D002560:Cerebrovascular Circulation / Q000502:physiology*; D003545:Cysteine / Q000031:analogs & derivatives; D004565:Electroconvulsive Therapy; D005260:Female; D007839:Functional Laterality / Q000502:physiology; D006801:Humans; D008875:Middle Aged; D009055:Mouth; D015609:Organotechnetium Compounds; D019275:Radiopharmaceuticals; D012563:Schizophrenia, Paranoid / Q000150:complications* / Q000523:psychology / Q000628:therapy*; D013702:Temporal Lobe / Q000098:blood supply* / Q000000981:diagnostic imaging; D015899:Tomography, Emission-Computed, Single-Photon
chemical_list: D015609:Organotechnetium Compounds; D019275:Radiopharmaceuticals; C059659:technetium Tc 99m bicisate; D003545:Cysteine