Neuro Angioedema - Orolingual Angioedema

Neuro angioedema is an extremely rare type of angioedema found in only a few cases whereas orolingual angioedema,  sometimes also referred to as facial angioedema, is relatively more common. For better understanding, this guide is divided into two parts: first one describes neuro angioedema and second one entails orolingual angioedema.

Neurology is a branch of medical science which deals with the nervous system and its disorders. Certain such disorders can cause angioedema which is called neuro angioedema. As it is found very rarely, not much people know about it.

A proper ant timely diagnosis for neuro angioedema is mandatory by having the lesion biopsied and microscopically examined. The treatment varies case to case, however the underlying infection should be treated first with antibiotics. The infection can cause certain other disorders in the mouth, in this case consult an ENT specialist for biopsy.

Orolingual angioedema, as evident from its name, can be characterized by the extreme swelling that occurs in the mouth, on the tongue or lips. In some rare cases uvula can also get swelled up. One of the causes is thrombolysis with alteplase especially in stroke patients. While in some other cases ACE inhibitor therapy can be the culprit. ACE inhibitor therapy increases the chances of orolingual angioedema if the individual is a stroke patient.

The swelling does not only disable the person from speaking but can also cause difficulty in breathing, especially if it progresses rapidly. Such cases should be treated in the ED (emergency department), under the supervision of expert doctors. Swelling can result in upper airway compromise and can be deadly.

The most common treatments involve the intake of dexamethasone and histamine antagonist. Epinephrine is also a great success when treating most types of acquired angioedema .However, as it can be a deadly ailment, consulting a qualified doctor for proper diagnosis and treatment is recommended.