Temporomandibular Disorder: An Important Cause of Temporal Headache in Patients Unlikely to Have Giant Cell Arteritis
| Autor: | Kanna Ramaesh, Kerr Brogan, David Lockington |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Referral Biopsy Giant Cell Arteritis Eye casualty Temporal headache Diagnosis Differential 03 medical and health sciences 0302 clinical medicine immune system diseases Internal medicine medicine Humans In patient Diagnostic Errors skin and connective tissue diseases Referral and Consultation Aged Retrospective Studies Aged 80 and over business.industry Temporomandibular disorder Headache General Medicine Middle Aged Temporomandibular Joint Disorders medicine.disease Rheumatology Temporal Arteries stomatognathic diseases Ophthalmology Ophthalmology clinic Giant cell arteritis 030221 ophthalmology & optometry Female business human activities 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Seminars in Ophthalmology. 34:80-84 |
| ISSN: | 1744-5205 0882-0538 |
| Popis: | Introduction: Temporal headache often results in an Ophthalmology referral to rule out giant cell arteritis (GCA). When clinical suspicion of GCA is low, alternative diagnoses should be considered. Temporomandibular disorder (TMD) commonly causes a temporal headache.Materials and Methods: Patients referred with a temporal headache attending the Friday emergency ophthalmology clinic from February to July 2017 were assessed for GCA using the American College of Rheumatology (ACR) diagnostic criteria and TMD using a validated screening questionnaire.Results: Ten symptomatic patients presented and were screened for TMD during this period. Four had mild TMD, two moderate, and three severe. The mean TMD score in patients with less than 3 ACR GCA criteria was 14.75 (SD 4.03) versus 6.8 (SD 3.06) in patients with 3 or more criteria (p = 0.0075).Conclusion: TMD is an important cause of a temporal headache in patients unlikely to have GCA. Onward referral to dentistry for further management may be merited. |
| Databáze: | OpenAIRE |
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