MMW Fortschritte der Medizin
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For the neurological differential diagnosis of facial pain, symptomatic pain must be differentiated from the so-called primary pain syndromes. Trigeminal neuralgia is usually readily diagnosed on the basis of the typical history. The treatment of choice is carbamazepine. ⋯ Although the etiology remains unknown, specific therapeutic options are available. The Tolosa-Hunt syndrome is presumably caused by a granuloma in the cavernous sinus, and treatment is effected with corticosteroids. Painful craniomandibular dysfunction (CMD) is often misinterpreted as atypical facial pain.
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Anxiety engendered by the workplace leads to an inability to work and earn one's living. The term workplace phobia is applied when anxiety leads to avoidance of the workplace. ⋯ The treatment of workplace-related phobia differs from that of other phobias because of the peculiarities of the workplace. Simply giving the patient sick leave may do more harm than good, and as such needs to be carefully weighed up.