Tatiana Prosini da Fonte, Matheus Herreira-Ferreira, Adriana Coelho da Silva Freitas, Leonardo Rigoldi Bonjardim, Juliana Stuginski-Barbosa, Paulo César Rodrigues Conti
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引用次数: 0
摘要
目的:耳颞神经痛(Auriculotemporal neuralgia,AN)是一种罕见的疾病,其特征是剧烈、刺痛、单侧疼痛,文献中对此描述不足。耳颞神经痛常常与其他具有相同神经支配的疾病同时存在,这种重叠使临床解释变得复杂,导致诊断错误和治疗选择不当。头痛和面部疼痛诊断标准中缺乏AN的内容,妨碍了诊断推理的关键信息的获取。因此,我们旨在报告一例AN与另一种口面部疼痛疾病重叠的病例:我们报告了一例慢性口面部肌筋膜痛(MP)与AN重叠的病例,保守的MP治疗并不能完全缓解患者的疼痛。在确诊为 AN 后,单次麻醉阻滞使患者的疼痛在 2 年的随访中完全缓解:这些研究结果支持将 AN 重新纳入诊断标准,帮助临床医生进行诊断推理,避免不必要的干预。
Auriculotemporal neuralgia overlapped with chronic orofacial myofascial pain: A case report of a challenging diagnosis.
Aim: Auriculotemporal neuralgia (AN) is a rare condition characterized by severe, stabbing, unilateral pain inadequately described in the literature. Often coexisting with other conditions sharing the same innervation, and this overlap complicates clinical interpretation, leading to diagnostic errors and inappropriate therapeutic choices. The absence of AN in headache and facial pain diagnostic criteria hampers access to crucial information for diagnostic reasoning.Thus, we aimed to report a case of AN overlapped with another orofacial pain condition.
Method and result: We present a case of overlap between chronic orofacial myofascial pain (MP) and AN, where conservative MP treatment did not provide the patient with complete pain relief. After diagnosing AN, a single anesthetic block induced complete pain remission over a 2-year follow-up.
Conclusion: These findings support reintroducing AN into diagnostic criteria, aiding clinicians in diagnostic reasoning, and preventing unnecessary interventions.
期刊介绍:
Special Care in Dentistry is the official journal of the Special Care Dentistry Association, the American Association of Hospital Dentists, the Academy of Dentistry for Persons with Disabilities, and the American Society for Geriatric Dentistry. It is the only journal published in North America devoted to improving oral health in people with special needs.