Department of Oral Science, Centre for care of TMD and Orofacial pain, Sapienza University of Rome, Rome, Italy.
Neurol Sci. 2009 Aug;30(4):295-9. doi: 10.1007/s10072-009-0098-7. Epub 2009 Jun 3.
To evaluate the prevalence of migraine and related disability and the role of ID migraine questionnaire as a screening tool in patients with temporomandibular disorders (TMDs) and craniofacial pain (CFP). TMDs patients with CFP underwent stomatognathic (RDC/TMD criteria) and neurological visits (IHS criteria, 2004). ID migraine questionnaire and MIgraine Disability Assessment Scale (MIDAS) were also administered. Out of 45 patients, 69% met diagnosis of migraine plus chronic tension-type headache (CTTH); 9% presented CTTH and 20% were migraineurs. Out of 39 migraineurs who completed MIDAS, 56% presented the highest disability grade. Out of 37 patients who completed ID migraine questionnaire, 32 resulted affected by probable migraine with a diagnostic sensibility and specificity of 94% and 100%, respectively. Our findings showed a clinical association between TMDs and migraine. We support a clinical role of ID migraine and MIDAS in TMDs patients with CFP and we underline the importance of a multidisciplinary evaluation in this group of migraineurs.
为了评估偏头痛及相关残疾的患病率，以及偏头痛残疾评估问卷（ID 偏头痛问卷）作为颞下颌紊乱（TMD）和颅面疼痛（CFP）患者筛查工具的作用。CFP 的 TMD 患者接受了口腔颌面部（RDC/TMD 标准）和神经学检查（IHS 标准，2004 年）。还进行了 ID 偏头痛问卷和偏头痛残疾评估量表（MIDAS）。45 名患者中，69%符合偏头痛加慢性紧张型头痛（CTTH）的诊断；9%为 CTTH，20%为偏头痛患者。39 名完成 MIDAS 的偏头痛患者中，56%的残疾程度最高。37 名完成 ID 偏头痛问卷的患者中，32 名患者可能患有偏头痛，其诊断敏感性和特异性分别为 94%和 100%。我们的研究结果表明 TMD 与偏头痛之间存在临床关联。我们支持 ID 偏头痛和 MIDAS 在 CFP 合并 TMD 患者中的临床作用，并强调对这群偏头痛患者进行多学科评估的重要性。
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