Licorice overload may cause seizures


Overconsumption of candies with licorice is associated with tonic clonic-seizures and hypertension in a case study.

The report involved a 10-year-old boy who was admitted to a hospital in Bologna, Italy following generalized tonic-clonic seizures. The boy had an elevated blood pressure. A brain magnetic resonance scan showed a localized vasogenic oedema. [Pediatric Neurology 2015;52:457-459

A follow-up examination offered the clue:  the boy’s teeth had black stains.  He later admitted to have consumed 20 licorice toffees per day in the past 4 months. This amounts to 2.88 mg/kg of glycyrrhizic acid, which gives licorice its sweet taste, and exceeds the WHO’s maximum recommendation of 2 mg/kg. This partly explained the reason for his hypertension, said the authors.

The risk of seizures from licorice is of particular concern in children with low body weight, they added. Licorice consumption is also linked to posterior reversible encephalopathy syndrome in children.

 

Cone-beam CT of the retromolar nerve.


The ‘retromolar’ nerve is a collateral branch of the inferior alveolar nerve. Cone-beam computed tomography (CBCT) provides higher resolution images. This CBCT study reports the frequency of the retromolar nerve. Materials and methods. From 2007-2010 the CBCT study of 233 hemi-mandibles have…

Abstract

Objective The ‘retromolar’ nerve is a collateral branch of the inferior alveolar nerve. Cone-beam computed tomography (CBCT) provides higher resolution images. This CBCT study reports the frequency of the retromolar nerve. Materials and methods. From 2007-2010 the CBCT study of 233 hemi-mandibles have been examined. The CBCT study was obtained from an investigation of the posterior mandibular region in 187 patients suffering from different pathologies and it was aimed at detecting in patients the presence of a retromolar canal and foramen.
Results Thirty-four retromolar canals with a foramen were detected on 233 CBCT (14.6%) in 30 out of 187 patients (16%). In the 46 patients who underwent CBCT bilaterally, the retromolar canal was found in nine subjects (19.6%) and was present bilaterally in four subjects, for an incidence of 8.7%.
Conclusions The results suggest that the radiological frequency of the retromolar nerve is notable, with a possible relevance in the surgical approach of the mandibular retromolar area. The presence of a retromolar canal, well detected with CBCT, may warn clinicians about the possibility of inadequate pre-surgical anaesthesia, local intra-operative bleeding and post-operative alterations of the sensation in the third molar area.

Giuseppe Lizio , Gian Andrea Pelliccioni , Gino Ghigi , Alessandro Fanelli & Claudio Marchetti

Department of Oral and Dental Sciences, University of Bologna, Italy

Correspondence: Dr Giuseppe Lizio, Department of Oral and Dental Sciences, University of Bologna, Via San Vitale 59, 40125, Bologna, Italy. +011-39-051-2088155. +011-39-051-225208. giuseppelizio@libero.it

Source: www. getinsidehealth.com