肌痛和感官调节:口内利多卡因影响的探索性研究
Anish Mehta1, Prabhudev M Hiremath1, Chandrasekhar Enuguri1
1Department of Neurology, Ramaiah Medical College and Hospitals, Ramaiah University of Applied Sciences, Bengaluru, India.
Movement disorders clinical practice
|September 2, 2025
概括
内利多卡因可快速,非侵入性地缓解肌痛,显著改善了和舌头的运动控制. 这种局部麻醉剂可暂时减轻症状,支持进一步研究这种罕见疾病的基于感官的治疗方法.
科学领域:
- 神经学
- 眼科 眼科
- 运动障碍
背景情况:
- dystonia是一种罕见的,特定于任务的口 dystonia,在过程中导致非自愿的下巴和舌头运动.
- 这种疾病往往不适应标准的 dystonia 治疗.
- 周围感官调制是一种潜在的治疗途径,
研究的目的:
- 探索口服局部利多卡因在具有任务特异性 dystonia 的患者的治疗和神经生理效应.
主要方法:
- 一个探索性病例系列的6名患者的 dystonia不响应常规治疗.
- 在口服里多卡因施用前和施用后,评估统一的 dystonia 评分表 (UDRS) 的分数.
- 使用视频录像和电肌图 (EMG) 来分析下巴和舌头的运动和肌肉活动.
主要成果:
- 硬食品和软食品的UDRS分数显著改善 (P=0.031).
- 电肌图 (EMG) 显示了平方根平均幅度 (RMS) 的降低 (18.6% - 36.5%) 和爆发时间的缩短.
- 症状缓解迅速 (几分钟),持续60 - 90分钟,并没有使用局部利多卡因护肤剂或喷雾剂的不良反应.
结论:
- 内利多卡因可以为特定任务的 dystonia 提供快速,非侵入性的缓解.
- 这些发现支持进一步研究基于感官的治疗策略.
相关概念视频
Local Anesthetics: Differential Sensitivity of Nerve Fibers
929
Local anesthetics (LAs) block the sodium channels of nerve trunks, sensory nerve endings, and neuromuscular junctions. Although LAs can block all kinds of nerves, the sensitivity of nerve fibers differs according to nerve types and structures. LAs are known to block myelinated fibers faster than unmyelinated ones. Also, they block pain or sensory neurons at low concentrations without affecting the motor neurons involved in muscle contractions. This helps relieve labor pain without affecting the...
929
Local Anesthetics: Chemistry and Structure-Activity Relationship
5.4K
Local anesthetics (LAs) are drugs that induce a temporary loss of sensation in a limited body area, preventing pain. Cocaine was the first local anesthetic discovered in the late 19th century. Cocaine is a benzoic acid ester obtained from the leaves of coca shrubs and was often used for its psychotropic effects. Cocaine was first isolated in 1860 by Albert Niemann. Sigmund Freud studied the physiological actions of cocaine. Carl Koller later introduced it into clinical practice in 1884 as a...
5.4K
Local Anesthetics: Mechanism of Action
2.5K
Local anesthetics (LAs) block sensory and motor impulses by inhibiting the sodium channels on the nerve cell membranes. This induces temporary loss of sensation, relieving pain in a specific body area.
Local anesthetics are amphiphilic molecules consisting of a hydrophobic aromatic part linked to a hydrophilic group by an ester or amide linkage. They are weak bases and are usually available as salts, which increases their solubility and stability. Once administered, LAs exist in the body either...
Local anesthetics are amphiphilic molecules consisting of a hydrophobic aromatic part linked to a hydrophilic group by an ester or amide linkage. They are weak bases and are usually available as salts, which increases their solubility and stability. Once administered, LAs exist in the body either...
2.5K
Local Anesthetics: Common Agents and Their Applications
545
Local anesthetics (LAs) are commonly used for various applications in medical and dental procedures. Some of the common agents used are cocaine, lidocaine, and bupivacaine.
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
Cocaine is an ester of benzoic acid and methylecgogine. It is used to anesthetize and vasoconstrict locally. Currently, it is used primarily for topical applications. It is beneficial for surgeries on the upper respiratory tract, providing anesthesia and shrinking the mucosa. Cocaine in the form of cocaine hydrochloride is...
545


