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Biomedical subjects

C Kränzl

Publications and source records attributed to C Kränzl.

At least 19 recordsLinked to original sources

The role of the autonomic nervous system in trigeminal neuralgia.

The role of the autonomic nervous system in trigeminal neuralgia is discussed. While the trigeminal nerve is accompanied by both sympathetic and parasympathetic fibers, first and second branch phenomena are predominantly associated with sympathetic stimuli. Third branch phenomena, by contrast, primarily involved a parasympathetic component. Atropine sulfate and beta-receptor blockers are suggested as a therapeutic modality. On ancillary studies involving 30 patients with trigeminal neuralgia an abnormal glucose tolerance and/or increased cholesterol level was found to be present in 28 cases.

Autonomic Nervous System↗

Drug treatment of trigeminal neuralgia with sympatho- and parasympatholytics.

Exciting factors in trigeminal neuralgia known to date are reviewed, and the involvement of the vegetative system in the development of neuralgic pain is documented by clinical observations. Studies of free fatty acids (ffs) and free glycerin (FGly) conducted to assess sympathetic and vegal involvement revealed a sympathetic component to be active in attacks along the distribution of the first and second trigeminal branches, while pain originating from the third branch appears to be mediated by vagal stimuli. Sy,patho- and parasympatholytic therapy is discussed and its effect reviewed in a large group of cases. More than 50% of cases were found to be improved.

Adult↗