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Hemicrania continua in a patient with concomitant dental disease.
MedLine Citation:
PMID:  23024307     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
BACKGROUND: /st> 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: /st> 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: /st> Dentists must consider headache disorders in patients who have continuous headaches after undergoing dental treatment for odontogenic pain.
Authors:
Noboru Noma; Hiroshi Kamo; Kohei Shimizu; Francisco Plaza-Villegas; Shunichi Oka; Yoshiki Imamura
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Dental Association (1939)     Volume:  143     ISSN:  1943-4723     ISO Abbreviation:  J Am Dent Assoc     Publication Date:  2012 Oct 
Date Detail:
Created Date:  2012-10-01     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7503060     Medline TA:  J Am Dent Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1099-103     Citation Subset:  D; IM    
Affiliation:
Dr. Noma is an assistant professor, Department of Oral Diagnosis, and a lecturer, Division of Clinical Research, Dental Research Center, Nihon University School of Dentistry, Tokyo. Address reprint requests to Dr. Noma at Nihon University School of Dentistry, 1-8-13 Kandasurugadai, Chiyoda-ku Tokyo, 101-8310, Japan, noma@dent.nihon-u.ac.jp.
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