Amitriptyline in the treatment of two cases of thalamic syndrome.docVIP

 PAGE \* MERGEFORMAT 7 Amitriptyline in the treatment of two cases of thalamic syndrome Keywords:: amitriptyline; hypothalamus; syndrome [Abstract] Objective: To observe the efficacy of amitriptyline in the treatment of hypothalamic syndrome. Methods: 2 cases of cerebral vascular diseases caused by pathological changes were manifested in the contralateral limb ‘hot’ and ‘shock’ kind of numbness and other symptoms stubborn Thalamic Syndrome, after expansion tube, sedation and other ineffective treatment given after amitriptyline 25 mg, po, qn, treatment 3 wk. Results: 2 patients achieved complete remission and even disappearance of symptoms. Conclusion: Amitriptyline may be effective in control of cerebro-vascular diseases caused by hypothalamic syndrome. Amitriptyline (amitriptyline) Department of tricyclic antidepressants in clinical practice mainly for the treatment of depression. In recent years, is also widely used to treat migraine and tension headache [1-3]. However, for the treatment of cerebral vascular disease due to hypothalamic syndrome, the author no domestic and foreign literature. Based on amitriptyline to treat and prevent migraine and tension headache, especially in depression associated with obsessive-compulsive neurosis color appeared nervous headache has a good therapeutic effect, but there are some clinical cerebrovascular disease are mostly associated with The Melancholy of varying degrees of color [4,5], the author tested in two cases of cerebrovascular disease Suozhi stubborn Thalamic Syndrome. Cases of a woman, 65 a. 0.5 a antecedent ‘stroke’ left on the left limb paresis, with intolerable hot pepper-like ‘hot’ feeling. Has given TMP 100 mg, po, tid, nimodipine 30 mg, po, tid, nifedipine 10 mg, po, tid and other vasodilator therapy 3 mo, give diazepam 2.5 mg, po, bid, and Kama Xi-Ping 100 mg, po, tid, etc. 1 mo symptomatic treatment, the effect was not obvious. Treatment when the examination: blood pressure 18.6/10.64 kPa (140/80 m