Reyes Antonio Jose, Ramcharan Kanterpersad, Maharaj Rajesh
Medicine, Neurology Unit, San Fernando Teaching Hospital, San Fernando, Trinidad and Tobago.
Medicine, SurgiMed Clinic, San Fernando, Trinidad and Tobago.
BMJ Case Rep. 2019 Sep 20;12(9):e230248. doi: 10.1136/bcr-2019-230248.
We report a case that illustrates how chronic migraine headaches and multiple dental pathologies caused severe and long-standing cranial pain that affected the quality of life of a man for more than 35 years. His case was investigated at several settings including the neurology outpatient clinic of the hospital without a definitive diagnosis or resolution. After investigations, multiple oral pathologies including two occult dental abscesses were diagnosed. Once both affected teeth and associated abscesses were surgically removed, with subsequent antibiotic therapy the headaches resolved.
我们报告了一个病例,该病例说明了慢性偏头痛和多种牙齿病变如何导致严重且长期的头痛,这种头痛影响一名男子的生活质量超过35年。他的病例在包括医院神经科门诊在内的多个科室进行了检查,但未得到明确诊断或治愈。经过检查,诊断出多种口腔病变,包括两个隐匿性牙脓肿。一旦受影响的牙齿和相关脓肿通过手术切除,并随后进行抗生素治疗,头痛就消失了。