Temporo-mandibular disorders are an important comorbidity of migraine and may be clinically difficult to distinguish them from tension-type headache

Arquivos de Neuro-Psiquiatria

Ariovaldo Alberto Da Silva Júnior¹  Karina Viana Brandão¹  Bruno Engler Faleiros¹  Rafael Mattos Tavares¹  Rodrigo Pinto Lara¹  Eduardo Januzzi¹  Anísio Bueno De Carvalho¹  Eliane Maria Duarte De Carvalho¹  João Bosco Lima Gomes¹  Frederico Mota Gonçalves Leite¹  Betania Mara Franco Alves¹  Rodrigo Santiago Gómez¹  Antônio Lúcio Teixeira¹ 

关键词: primary headache;    temporomandibular disorders;    migraine;    cefaleia primaria;    desordens temporomandibular;    migrânea;   

DOI  :  10.1590/0004-282X20130221

来源: SciELO

【 摘 要 】

Clinical differentiation between the primary headaches and temporomandibular disorders (TMD) can be challenging.Objectives : To investigate the relationship between TMD and primary headaches by conducting face to face assessments in patients from an orofacial pain clinic and a headache tertiary center. Method : Sample consists of 289 individuals consecutively identified at a headache center and 78 individuals seen in an orofacial pain clinic because of symptoms suggestive of TMD. Results : Migraine was diagnosed in 79.8% of headache sufferers, in headache tertiary center, and 25.6% of those in orofacial pain clinic (p<0.001). Tension-type headache was present in 20.4% and 46.1%, while the TMD painful occurred in 48.1% and 70.5% respectively (p<0.001). Conclusion : TMD is an important comorbidity of migraine and difficult to distinguish clinically from tension-type headache, and this headache was more frequent in the dental center than at the medical center.

【 授权许可】

CC BY   
 All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License