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面部或面部三角形自主脑膜炎:病例报告的综述

Jack Botros¹, Donald R Nixdorf¹

¹Division of TMD & Orofacial Pain, University of Minnesota, Minneapolis, MN, USA.

Cranio : the journal of craniomandibular practice

|August 1, 2025

概括

三胞胎自主头痛 (TAC) 可以表现为具有挑战性的面部疼痛,通常模仿牙问题. 自主性症状的增加与疼痛持续时间和患者年龄的延长有关.

科学领域:

神经学神经学
疼痛医学医学疼痛医学
头痛疾病头痛疾病

背景情况:

三角形自主头痛 (TAC) 是一组主要头痛疾病,其特点是单边的三角形分布疼痛与骨自主特征相关.
口腔面部疼痛,特别是当表现为口腔内或牙疼痛时,可能是TAC的具有挑战性的诊断表现.

研究的目的:

描述与面腔疼痛相关的三角体自主性脑膜炎 (TAC),重点关注其临床特征和诊断挑战.

主要方法:

在多个数据库中进行了全面的网络搜索,以确定V2和/或V3三角神经分布中的病例报告和详细 TAC 系列.
头痛的分类使用国际头痛疾病分类III和国际口腔面部疼痛分类.
用描述性分析和多变量线性回归模型来评估与疾病持续时间和医疗保健利用相关的因素.

主要成果:

近一半的报告病例 (47%) 呈现出口内或牙疼痛,有些病例缺乏头痛或V1参与.
患者经历了平均2.2个自主症状,平均疾病持续时间为4.5年,与2.6个之前的提供者进行了咨询.
发现自主症状随着疼痛开始时间的延长和患者年龄的增加而增加.
更多的先前提供者与较短的TAC情节有关,与TAC呈现长时间的攻击或持续的疼痛形成鲜明对比.

结论:

面腔TAC对临床医生来说是一个重大的诊断挑战,往往需要多学科的方法.
提高意识,教育和进一步的研究对于更好地理解和管理这些复杂的头痛疾病至关重要.

关键词:

三胞胎自主脑膜炎的病变这是分类分类的分类.头痛是一种头痛.错误诊断是一个错误的诊断.面部或面部疼痛是一种疼痛.

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