Two Cases of Oral Cenestopathy.

DOI 2 Citations 5 References
  • Toyofuku Akira
    Department of Dentistry and Oral Surgery, School of Medicine, Fukuoka University
  • Simizu Toshihiro
    Department of Dentistry and Oral Surgery, School of Medicine, Fukuoka University
  • Shimamura Tomoki
    Department of Dentistry and Oral Surgery, School of Medicine, Fukuoka University
  • Kikuta Toshihiro
    Department of Dentistry and Oral Surgery, School of Medicine, Fukuoka University
  • Miyako Haruhiko
    Department of Dentistry and Oral Surgery, School of Medicine, Fukuoka University

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  • 口腔内セネストパチーの２治験例

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Abstract

Two cases of oral cenestopathy are reported in this article.<BR>Case 1 was a 64-year old spinster complaining of vinyl tape in her oral cavity. She had been treatd by psychiatrists for more than ten years when she suddenly visited our department and loudly complained that there were vinyl tape, parasites and metal parts in her orale cavity. She said nothing about where they had come from, but persistently demanded their removed. Objectively ther were no abnormalities in her mouth. In this case, neither tricyclic antidepressants nor antianxiety medication were effective but a major tranquilizer, haloperidol did work.<BR>Case 2 was a 71-year old housewife with no psychic episodes, Her hallucination of a parasite was removed by tetracyclic antidepressant and antianxiety medication (mianserin and oxazolam). Haloperidol was also effective in this case, but proved difficult to use because of its side effects.<BR>Both patients had minor cerebrovascular disease, but who connection between this and the symptoms was identified.<BR>It is considered that these cases depend more on disorders of neurotransmitters and receptors in the brain than on any organic mental disorder.

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