Use of complementary medicine in autoimmune diseases of the nervous system

Abstract

The relevance of the study is due to the lack of complete understanding of the formation of psychopathological symptoms in trigeminal neuralgia (TN) in dynamics before and after surgical treatment. Moreover, currently, there is no algorithm for conducting psychotherapeutic measures for TN patients. The purpose of the study: Examination of psychic disorders in TN patients. Methods: Severity of anxiety, depression, obsessive and phobic disorders, the duration of pain persistence after surgery, and accentuation of personality were assessed in 39 TN patients operated in the N. N. Burdenko National Medical Research Center for Neurosurgery during 2012–2014. Results: Psychic disturbances probability increased in direct proportion to the duration of the pain syndrome. Mental disorders in TN were significantly more likely to occur in psychopathically or characterologically accentuated individuals. The main psycho-emotional manifestations in patients before and after surgery for TN include varying degrees of emotional stress. A high degree of emotional stress was detected in 55 % of patients, moderate — in 35 %, mild — in 10 % of patients. During the follow-up study, it was found that the majority of patients defined their condition as good and satisfactory. Pain syndrome was not detected in 71 % of patients. The examination of the mental state in 71 % of cases did not reveal any changes, while in 14 % of cases the disorders were episodic.