Kuć Joanna, Szarejko Krzysztof Dariusz, Aleksandrowicz Krzysztof, Gołębiewska Maria
Department of Prosthodontics, Medical University of Bialystok , Bialystok, Poland.
Private Health Care, Physical Therapy and Rehabilitation , Bialystok, Poland.
Cranio. 2021 Jan;39(1):74-87. doi: 10.1080/08869634.2018.1560616. Epub 2019 Jan 4.
: Kimmerle anomaly belongs to the anatomic varieties of the first cervical vertebra. The clinical pattern is dominated by vascular- and neurogenic-type headaches, dizziness, decreased postural muscle tension, and vegetative symptoms. : A 37-year-old woman who suffered from headache and pain in the left temporomandibular joint underwent clinical examination, electromyography of masticatory muscles, temporomandibular joint vibration analysis, cone beam computed tomography, and soft tissue mobilization. Radiologic examination revealed Kimmerle anomaly on the right side of the atlas. : Myofascial release decreased the tension within anatomic structures projected to the vertebral artery groove. Better movements of the cervical spine and fewer headaches were noted. Increased cervical and masseter muscle tension were considered the main cause of the ailments. The proprioceptive system of the cervical spine was accepted as a reason for persistent headaches. Soft tissue mobilization revealed positive healing effect in the patient with temporomandibular joint disorder and Kimmerle anomaly. : First cervical vertebra; : Diagnostic Criteria for Temporomandibular Disorders (DC/TMD); : Beck Depression Inventory; : Perceived Stress Scale; : Neck Disability Index; : Surface electromyography; : Surface electromyography; : Intraclass correlation coefficient; : computer evaluation of dental occlusion; : Joint Vibration Analysis; : Cone Beam Computed Tomography; : Occlusion time; the time from the first contact of the teeth to the maximum intercuspidation; reference value in patient with natural teeth <0.2 s; : Disclusion time to the left; the time from the maximum intercuspidation to obtain complete lack of the teeth contact in lateral movement to the left; reference value in patient with natural teeth <0.4 s; : Disclusion time to the right; the time from the maximum intercuspidation to obtain complete lack of the teeth contact in lateral movement to the right; reference value in patient with natural teeth <0.4 s; : Natural head position; : micro-Sievert; : kilovolt; : miliampere; : centimeter; : micrometer; : second; : Hertz; : Segment of atlas and axis; : Atlantooccipital dislocation; : Reference value; : Trigger point; : Visual Analog Scale; : Cranial nerve V, trigeminal nerve; : Occiput and first vertebra junction.
金默尔畸形属于第一颈椎的解剖变异类型。其临床症状以血管源性和神经源性头痛、头晕、姿势性肌张力降低及自主神经症状为主。：一名37岁患有头痛和左侧颞下颌关节疼痛的女性接受了临床检查、咀嚼肌肌电图检查、颞下颌关节振动分析、锥形束计算机断层扫描以及软组织松动治疗。影像学检查显示寰椎右侧存在金默尔畸形。：肌筋膜松解降低了投射至椎动脉沟的解剖结构内的张力。颈椎活动改善，头痛次数减少。颈椎和咬肌肌张力增加被认为是这些疾病的主要原因。颈椎的本体感觉系统被认为是持续性头痛的一个原因。软组织松动治疗对患有颞下颌关节紊乱和金默尔畸形的患者显示出积极的治疗效果。：第一颈椎；：颞下颌关节紊乱病诊断标准（DC/TMD）；：贝克抑郁量表；：感知压力量表；：颈部功能障碍指数；：表面肌电图；：表面肌电图；：组内相关系数；：牙合的计算机评估；：关节振动分析；：锥形束计算机断层扫描；：咬合时间；从牙齿首次接触到最大牙尖交错位的时间；天然牙患者的参考值<0.2秒；：向左的脱离接触时间；从最大牙尖交错位到左侧侧方运动中牙齿完全脱离接触的时间；天然牙患者的参考值<0.4秒；：向右的脱离接触时间；从最大牙尖交错位到右侧侧方运动中牙齿完全脱离接触的时间；天然牙患者的参考值<0.4秒；：自然头位；：微西弗；：千伏；：毫安；：厘米；：微米；：秒；：赫兹；：寰椎和枢椎节段；：寰枕脱位；：参考值；：触发点；：视觉模拟量表；：颅神经V，三叉神经；：枕骨与第一颈椎交界处。
