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Query: UMLS:C0018681 (headache)
 56,091 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Our purpose was to examine the MMPI profiles of 157 patients with chronic headache or facial pain. The following diagnostic groups were considered: tension-type headache (n = 44); migraine + cluster headache + chronic paroxysmal hemicrania (20); trigeminal neuralgia (7); atypical facial pain (AFP) (33); temporomandibular joint dysfunction (TMJ) (53). There were two control groups: C1 of 27 healthy individuals and C2 of 18 patients with chronic pain located elsewhere. A "Pain Index" was calculated (0-10) which quantified pattern, duration and frequency of pain. The Italian MMPI abbreviated version was administered to all subjects. One-way Anova, the Duncan test and correlation analysis were performed. Of the diagnostic groups, AFP scored highest and TMJ lowest in all except three scales. In the AFP group, all neurotic scales scored above 70. The Pain Index correlated with higher scores on most scales. Chronic pain may lead to personality alterations, but some features of craniofacial pain correlate with specific personality disturbances.
Cephalalgia 1992 Apr
PMID:MMPI profiles in patients with headache or craniofacial pain: a comparative study. 157 44

Seven-hundred-and-ninety-one 15-year-olds were subjected to an anamnestic and clinical examination of craniomandibular disorders. These individuals had been examined at the age of 12 years and this is one section of an extensive longitudinal investigation into the effects of malocclusion, and the effectiveness of orthodontic treatment. The children were originally selected on the basis of presence of malocclusion. Signs of CMD were found in about half of the subjects. The proportion of individuals without any signs of CMD had decreased during the 4-year period. However, the number of subjects with severe signs remained very small. Changes in severity of CMD according to Helkimo's index of clinical dysfunction were mainly attributed to an increased prevalence of impaired TMJ function. An increase in prevalence of reported symptoms was found involving headache and joint sounds. The other recorded symptoms did not show any significant increase in prevalence. Mandibular mobility showed only minor changes from 12 to 15 years of age.
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PMID:A survey of craniomandibular disorders in 800 15-year-olds. A follow-up study of children with malocclusion. 158 60

Temporomandibular joint disorder is a common clinical entity with diverse etiologies and symptoms. The hallmarks on physical examination are reduced or dysfunctional mandibular range of motion, malocclusion, and joint or preauricular tenderness. The diagnosis is made when a history of craniofacial symptoms or headache is linked with temporomandibular joint dysfunction. Temporomandibular joint disorders usually respond to medical treatment with anti-inflammatory medications, soft diet and occlusal therapy, without the need for surgical intervention. These disorders must be considered in the differential diagnosis of chronic headache, facial pain and compromised mandibular movement.
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PMID:Temporomandibular joint disorder. 162 26

Fifty patients diagnosed with TMJ internal derangement, myalgia, and headaches, who had not responded well to nonsurgical management and subsequently underwent TMJ surgery, were retrospectively evaluated. The patients were mailed a survey asking them to evaluate the following symptoms: joint pain, joint noise, facial muscle pain, cervical and shoulder muscle pain, headache frequency and intensity, and overall head and neck pain. The majority of patients reported their symptoms as moderate to severe prior to treatment. In addition to reporting decreases in TMJ pain and noise after surgery, the majority of patients responding also reported decreases in myalgia and headaches. Twenty-two patients managed nonsurgically at the same center were also surveyed. The proportion of patients reporting their symptoms as moderate to severe prior to treatment was lower in this group. Patients reporting decreases in myalgia and headaches were in the minority. The study demonstrates that myalgia and headache symptoms associated with TMJ dysfunction that are poorly responsive to nonsurgical management may improve following TMJ surgery.
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PMID:Improvement in myofascial pain and headaches following TMJ surgery. 181 48

The patient who presents with a severe and acute headache should be evaluated radiographically with CT. The key diagnosis to make in this situation is hemorrhage, either subarachnoid or intraparenchymal. Computed tomography is more sensitive to acute hemorrhage than is MRI. When the patient is stable, MRI frequently contributes information to narrow the diagnostic possibilities, because vascular malformations and certain parenchymal lesions have a characteristic appearance on MRI. Hydrocephalus may also present acutely and is easily seen on CT or MRI. In a patient may show WMF and atrophy. The patient with trigeminal neuropathy may demonstrate central or peripheral lesions. In temporomandibular joint dysfunction, conventional tomography and MRI are frequently used. Magnetic resonance imaging shows excellent detail of the disk and surrounding soft tissues, whereas tomography better demonstrates bony changes. When a history of trauma is present, MRI may show a subacute subdural hematoma. These collections are easily seen on MRI, even when isodense on CT. Evidence of old shear injury is also well seen on MRI. Finally, neoplastic, inflammatory, congenital, and idiopathic sources of headache may be demonstrated by either MRI or CT, depending on presentation. MRI will generally show superior characterization.
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PMID:The radiology of headache. 202 Feb 11

Evaluation for signs and symptoms of TMJ disturbances during childhood and early adolescence is important. Early occlusal treatment for mandibular asymmetries may reduce temporomandibular joint growth site pathofunction, thus resulting in less pain, headache, and asymmetrical development of the mandible.
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PMID:Acquired condylar hypoplasia: report of case. 205 Aug 75

The normal physiologic tension of the TMJ muscles, fascia, ligaments, and associated structures is critical for the health of children. Pathologic strain patterns in the soft tissues can be a primary cause of headaches, neckaches, throat infections, ear infections, sinus congestion, and asthma. This article presents effective diagnostic and treatment modalities from both dental and physical therapy viewpoints to relieve and restore normal physiology to the TMJ muscles, fascia, ligaments, and associated structures. As structural balance is restored, a nutritional component of therapy is strongly recommended for the child's optimum health.
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PMID:Diagnosis and treatment of TMJ, head, neck and asthmatic symptoms in children. 209 98

A sample of 637 persons was interviewed and examined clinically for signs and symptoms of CMD. Five percent reported daily headaches, and recurrent headaches were more frequently (P less than 0.001) reported by women (28%) than men (15%). Women more often (P greater than 0.001) had headaches upon awaking and in the afternoon. Face, eyes, throat, and neck were the most common locations of pain (20%). Women (18%) more often (P less than 0.05) reported CM symptoms than men (10%), and 16% of the women and 9% of the men considered themselves to be in need of treatment. About 20% reported oral parafunctions (clenching/grinding/biting). The most frequent clinical finding was TMJ sounds (58%). Both clicking and crepitation were more frequent in women (P less than 0.01). Palpation tenderness in the jaw muscles was most frequently found in the lateral pterygoid (34%) and temporal muscle (27%). Women generally had more tenderness and muscles tender to palpation. Mean maximal opening capacity was significantly larger in men. Only 12% of the sample were found to be free of signs of mandibular dysfunction. As signs and symptoms of CMD were common findings, routine dental examination should always include functional examination of the stomatognathic system to evaluate the need of treatment.
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PMID:Craniomandibular disorders in an urban Swedish population. 209 91

One hundred two tinnitus patients were examined to determine the prevalence of signs and symptoms of CMD. The examination comprised determination of the anamnestic and clinical dysfunction indices according to Helkimo; assessment of the dentition, occlusal factors, and signs of parafunctions; and accomplishment of a tension test. Patients also answered a questionnaire concerning the presence and frequency of CMD symptoms and headaches, as well as influence on tinnitus by mandibular movements, by pressure applied to the TMJ, or by dental therapy. Frequent headaches and fatigue/tenderness in jaw muscles were more prevalent in tinnitus patients than in epidemiologic samples, as was the prevalence of clinical findings of pain on palpation of masticatory muscles, impaired mandibular mobility, and signs of parafunctions. About one-third of the patients reported influence on tinnitus by mandibular movements and/or pressure applied to the TMJs. A theoretic model of causal connections between tinnitus and signs and symptoms of CMD in some tinnitus patients is suggested.
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PMID:Prevalence of signs and symptoms of craniomandibular disorders in tinnitus patients. 209 94

The temporo-mandibular joint (TMJ) syndrome was first described by Costen in 1936. It is a muscular-skeletal pain-disease. The pain is caused by hypertonia of the masticatory muscles and is projected into various regions of the head and neck. There is a primary dysfunctional etiology as well as a secondary etiology based on other diseases, particularly of the ENT region. Diagnostically, therefore, a process of exclusion is required. The symptoms can range from diffuse headache and facial pain to strictly localized or even neuralgic pain. Otogenic symptoms may be pain or various noises in the ear. For differential diagnosis, most of the painful diseases of the head area must be considered because of the multiform clinical manifestation of the TMJ syndrome. The treatment of the TMJ syndrome follows a multistep scheme that includes behavior therapy, physiotherapeutic methods, and occlusal therapy.
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PMID:[Diagnosis and therapy of myo-arthropathy (Costen's syndrome)]. 224 52


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