Holmes G L, Zimmerman A W
Dev Med Child Neurol. 1983 Oct;25(5):601-5. doi: 10.1111/j.1469-8749.1983.tb13818.x.
The temporomandibular joint pain-dysfunction syndrome has received little attention in the literature on pediatric neurology. Five adolescents with this syndrome are reported, all of whom complained initially of headaches. In all cases the headaches were either continuous or daily and all patients had tenderness of the muscles of mastication and restricted or deviant jaw-opening. The literature is reviewed, and etiology, diagnosis and treatment are discussed. It is concluded that this is a rare but distinct syndrome which can cause headaches in adolescents, appears to have multiple etiologies and should be treated conservatively.
颞下颌关节疼痛功能紊乱综合征在儿科神经学文献中很少受到关注。本文报告了5例患有该综合征的青少年,他们最初均主诉头痛。在所有病例中,头痛均为持续性或每日发作,所有患者均有咀嚼肌压痛以及张口受限或异常。本文回顾了相关文献,并讨论了病因、诊断和治疗。结论是,这是一种罕见但独特的综合征,可导致青少年头痛,病因似乎多种多样,应采用保守治疗。