Spierings Egilius L H, Dhadwal Shuchi
Craniofacial Pain Center, Tufts University School of Dental Medicine, Boston, MA, USA.
Rev Neurol Dis. 2011;8(3-4):e88-96.
Like headache, the etiology of orofacial pain is often an enigma. Orofacial pain resulting from invasive dental procedure may cause a patient to present to a neurologist for diagnosis and treatment. The cases presented here were personally seen by the first author, a consulting neurologist; they illustrate the diversity in clinical presentation and the differences between a musculoskeletal and neuropathic origin of pain. Treatment is touched upon, but is neither exhaustive nor evidence based.
与头痛一样,口面部疼痛的病因常常是个谜。由侵入性牙科手术引起的口面部疼痛可能会使患者找神经科医生进行诊断和治疗。这里呈现的病例是第一作者(一位会诊神经科医生)亲自诊治的;它们说明了临床表现的多样性以及疼痛的肌肉骨骼源性和神经源性之间的差异。文中涉及了治疗方法,但既不详尽也无循证依据。