Emotional disorder syndrome after cosmetic facial injection

There are a number of patients who develop severe anxiety or depression after receiving facial cosmetic injections. We presented a 32‐year‐old woman who developed frequent panic, tension headache, tachycardia, shortness of breath, and sleep disorder for a year after the injection of hyaluronic acid on her forehead and glabella. Brain magnetic resonance imaging (MRI) showed multiple flaky and slightly longer T1, slightly longer T2 signals on the anterior frontal white matter. However, the patient's brain MRI scan 5 months before the injection showed no such performance. The patient was asked to consult the psychiatrist and was diagnosed with anxiety disorder. We name such phenomenon by Emotional disorder syndrome after cosmetic facial injection and assume that there are three major reasons for the emergence of this syndrome. One reason may be that emotional disorder is caused by the mental state of the patient. The second reason to explain the emotional disorder might be the frontal lobe syndrome caused by the frontal embolism during the filler injection. Another reason may be leukoaraiosis, a brain white matter change which may cause depression and anxiety.     

调神针刺法治疗不安腿综合征临床观察

目的:观察调神针刺法治疗不安腿综合征及其伴发睡眠障碍、焦虑情绪的临床疗效,为调神法在临床上的应用提供理论依据。方法:将60例患者随机分为观察组和对照组,每组30例。对照组予常规针刺治疗,穴取足三里、阳陵泉、悬钟等下肢局部腧穴;观察组在对照组取穴基础上加用百会、神庭、本神。两组均每日治疗1次,每周6d,1周为一疗程,连续治疗3个疗程。观察两组患者治疗前后国际不安腿综合征评定量表(IRLS)、匹兹堡睡眠质量指数(PSQI)和汉密尔顿焦虑量表(HAMA)评分变化。结果:治疗后两组患者IRLS评分、PSQI和HAMA总评分均较治疗前下降(P<0.05),且观察组治疗后各评分改善均优于对照组(P<0.05)。结论:在常规针刺基础上,调神针刺法可明显减轻不安腿综合征患者的下肢不适感,改善其睡眠障碍和焦虑情绪,疗效优于单纯常规针刺。