Clinical review for general practice

ISSN (Print) 2713-2552
ISSN (Online) 2782-5671
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FULLSCREEN > Archive > 2026 > Vol 7, №3 (2026) > Orofacial pain syndrome: clinical case of chronic pain in a patient

Orofacial pain syndrome: clinical case of chronic pain in a patient

Olga V. Kotova , Elena S. Akarachkova

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  • Abstract
  • About the Author
  • References

Abstract

Orofacial pain syndromes represent one of the challenging areas of modern medicine. Patients with symptoms of such kind visit many specialists: dentists, gnathologists, maxillofacial surgeons, neurologists, therapists. Despite considerable advances in the diagnosis and treatment of orofacial pain syndromes, which can be caused by neuralgia, myofascial pain syndromes, temporomandibular joint dysfunction, toothache, tumors, mental disorders, there are still many unresolved issues that are challenging for both physician and patient. All the above conditions can have similar symptoms and be comorbid. Patients often undergo unnecessary treatment and diagnostic manipulations without any significant effect. The paper presents a clinical case of the 40-year-old female patient suffering from the non-dental orofacial pain, myofascial pain syndrome, and mixed anxiety and depressive disorder, which was successfully cured using a combination of venlafaxine, carbamazepine, Pantogam Active, and Axamon. 
Keywords: orofacial pain syndrome, clinical case, diagnosis, therapy selection, Pantogam Active, Axamon.

About the Author

Olga V. Kotova , Olga V. Kotova , Olga V. Kotova , Elena S. Akarachkova , Elena S. Akarachkova
Olga V. Kotova1,2,3, Elena S. Akarachkova2,4 

1 Patrice Lumumba People’s Friendship University of Russia (RUDN University), Moscow, Russia; 
2 International society for the study of stress "Stress under control", Moscow, Russia; 
3 Vladimirsky Moscow Regional Research Clinical Institute (MONIKI), Moscow, Russia; 
4 Rehaline Rehabilitation Center, Krasnogorsk, Moscow Region, Russia

References

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For citation:Kotova O.V., Akarachkova E.S. Orofacial pain syndrome: clinical case of chronic pain in a patient. Clinical review for general practice. 2026; 7 (3): 44–47 (In Russ.). DOI: 10.47407/kr2026.7.3.00792


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