BACKGROUND Transcutaneous neurostimulation (TNS) at extracephalic sites is a well known treatment of pain. Thanks to recent technical progress, the Cefaly® device now also allows supraorbital TNS. During observational clinical studies, several patients reported decreased vigilance or even sleepiness during a session of supraorbital TNS. We decided therefore to explore in more detail the potenti...

To our knowledge, we report the first case of an extraconal orbital cystic schwannoma in Brazilian literature. The tumor grew slowly and progressively and was associated with minimal eccentric proptosis and diplopia. The radiologic study (orbital computed tomography) revealed a rounded, encapsulated, and extraconal cystic mass in the superior medial region of the right orbit in the supraorbital...

Re-examination of eight patients in whom bulbar trigeminal tractotomy had been performed 13 to 15 years previously showed that four had no complaints, and the other four had only very slight complaints about pain. In two patients a Spiller-Frazier operation had been performed after tractotomy, in two patients exairesis of the infraorbital or supraorbital nerve had been done. As bulbar trigemina...

The supratrochlear and supraorbital notches and foramina have been studied in 312 adult skulls of known age and sex. Out of them, in males 49.4% had bilateral supraorbital notches and 13.5% had bilateral foramina, 18.91% had a notch on one side and a foramen on the other side. Bilateral supratrochlear notch was present in 5.4% skulls, 9.65% skulls had bilateral supratrochlear canals and 8.49% h...

OBJECTIVE To select a surgical approach for aneurysm clipping by comparing 2 approaches. MATERIALS AND METHODS 204 patients diagnosed with subarachnoid hemorrhage treated by the same neurosurgeon at a single institution from November 2011 to October 2013, 109 underwent surgical clipping. Among these, 40 patients with Hunt and Hess or Fisher grades 2 or lower were selected. Patients were assig...

Suday, Sptem er 5, 2016 lip shortening. All patients reported significant softening appearance or feminization post op. Sixty five patients had multiple procedures at one operation and 50% had one touch up procedure at least within 6 months post op; of those who had single procedure only 6 had a need for corrective surgery. None had acute sinusitis, meningitis, airway obstruction, permanent fac...

When choosing an infiltrative anesthetic agent, the type of procedure, the length of time required for anesthesia, and the pharmacodynamics of each medication are important considerations. Distraction techniques and buffering with sodium bicarbonate can be used to decrease the pain associated with injection. Local cutaneous infiltration is the most commonly used anesthetic technique and involve...

To investigate whether cortical processing of trigeminal nociception is modulated by emotion, the N2 and P2 components of the pain-related evoked potential (PREP) were recorded in response to noxious stimulation of the supraorbital nerve while participants viewed neutral, pleasant and unpleasant pictures. The nerve was stimulated at 125% of pain threshold via a nociceptive-specific concentric e...