Hemicrania continua in a patient with concomitant dental disease
Hemicrania continua in a patient with concomitant dental disease
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DOI：
10.14219/jada.archive.2012.0040
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发表时间：
2012-10-01
影响因子：
3.9
通讯作者：
Imamura, Yoshiki
中科院分区：
文献类型：
--
作者：
Noma, Noboru;Kamo, Hiroshi;Imamura, Yoshiki
背景。有一些类似牙痛的非牙源性头痛。一种这样的头痛疾病是连续性偏头痛（HC）。 HC 是一种原发性头痛综合征，其特征是持续的单侧头痛，对吲哚美辛完全有反应。患者可能有一些体征和症状，牙医应将其与牙源性疼痛和颞下颌关节紊乱病区分开来。如果患者的疼痛有多种原因，这些症状可能会给牙医的诊断过程带来挑战。因此，牙医必须对牙源性和非牙源性疼痛的原因有透彻的了解，以便他们能够做出准确的诊断并制定治疗计划。病例描述。作者描述了一名 41 岁女性的病例，她有 6 年的持续头痛病史，以及 1 年的颞下颌功能障碍和牙源性疼痛病史。她寻求了多位牙医的治疗，根据临床和放射学检查的结果，诊断为右侧面部疼痛和头痛，随后进行了牙科治疗。她没有感受到任何疼痛缓解。我们的其他检查结果得出了 HC 的诊断。临床意义。对于接受牙源性疼痛牙科治疗后持续头痛的患者，牙医必须考虑头痛疾病。
Background. There are nonodontogenic headache disorders that mimic dental pain. One such headache disorder is hemicrania continua (HC). HC is a primary headache syndrome characterized by a continuous, unilateral headache that is completely responsive to indomethacin. Patients may have signs and symptoms that the dentist should differentiate from odontogenic pain and temporomandibular disorders. These symptoms can make the diagnostic process a challenge for dentists if patients' pain has multiple causes. Dentists, thus, must have thorough knowledge of odontogenic and nonodontogenic causes of pain so they can make accurate diagnoses and prepare treatment plans.Case Description. The authors describe the case of a 41-year-old woman with a six-year history of continuous headaches and a one-year history of temporomandibular dysfunction and odontogenic pain. She sought treatment from a number of dentists and received a diagnosis of right-side facial pain and headache on the basis of the results of clinical and radiologic examinations, which was followed by dental treatment. She did not experience any pain relief. Additional results of our examination led to a diagnosis of HC.Clinical Implications. Dentists must consider headache disorders in patients who have continuous headaches after undergoing dental treatment for odontogenic pain.