颞下颌关节在原发性头痛与复发性原发性头痛鉴别诊断中的重要性

Lucas Augusto Marcon, K. F. Pereira, F. F. D. Santos, A. R. D. A. César
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引用次数: 0

摘要

目的:本文旨在推广当医生面临最初被认为是偏头痛或紧张性头痛的原发性头痛时,特别是当他们不负责治疗时,将颞下颌紊乱作为一种可能的诊断。方法本研究以颞下颌紊乱所致头痛的临床表现为研究对象,检索2002 - 2022年美国国家医学图书馆、Scielo图书馆和PubMed图书馆;以及第三版《国际头痛疾病分类》(2018年)和《连续头痛》(2021年)。临床表现选择疼痛部位、疼痛类型、危象持续时间、改善和恶化因素及相关症状进行比较。结论当主诉为原发性头痛时,将TMD头痛作为首发诊断是非常合理的,当主诉为难治性时,将TMD头痛作为首发诊断也是非常合理的。同时,考虑到TMD会引发其他头痛。
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The importance of the temporomandibular joint in the differential diagnosis of primary headaches and recurrent primary headaches
ObjectiveThe present article aims to popularize the temporomandibular disorder as a possible diagnosis when the phisician is facing a primary headache that was first thought to be a migraine headache or tension type headache, specially when they are not responsible to the treatment.MethodologyThis study focused on the clinical manifestation of the headache caused by temporomandibular disorder, with data searched in the National Library of Medicine, Scielo and PubMed libraries, from 2002 to 2022; also the 3rd edition of the International Classification of Headache Disorders (2018) and the Continuum Headache (2021). The aspects of the clinical manifestation chosen for comparison were location of the pain, type of pain, crisis duration, improvement and worsening factors and associated symptoms.ConclusionIt is very reasonable to consider TMD headache as a first diagnosis when the complaint is a primary headache, as much as it is reasonable to consider this diagnosis when the refractoriness is the complaint. Also, considering the TMD as a trigger to the other headaches.
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