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Temporomandibular disorder or not? A case report.
Angel Alvarez-Arenal1, Ignacio Gonzalez-Gonzalez1, Marcos Moradas Estrada1
1a Department of Prosthodontics and Occlusion , School of Dentistry, University of Oviedo , Spain.
Cranio : the Journal of Craniomandibular Practice
|August 8, 2015
Summary
A case study highlights the importance of considering acoustic neuroma in patients with temporomandibular disorder (TMD) and otologic symptoms. Cranial MRI is crucial when TMD treatment is ineffective.
Area of Science:
- Neurology
- Dentistry
- Otolaryngology
Background:
- Temporomandibular disorder (TMD) can present with complex symptoms.
- Otologic symptoms like hearing loss and dizziness may coexist with TMD.
Observation:
- A patient presented with right maxillary pain, hearing loss, and dizziness.
- Clinical examination revealed temporomandibular joint (TMJ) dysfunction and muscle tenderness.
Findings:
- Initial diagnosis of TMD and orofacial pain was made.
- Cranial magnetic resonance imaging (MRI) unexpectedly revealed an acoustic neuroma.
Implications:
- Coexisting TMD and otovestibular symptoms warrant thorough differential diagnosis.
- Cranial MRI is recommended for persistent or unexplained TMD with otologic signs.
- Early detection of conditions like acoustic neuroma is vital for effective management.
