Moncada E, Graff-Radford S B
Center for TMD and Orofacial Pain, University of California, San Francisco, School of Dentistry 94143-9768, USA.
J Orofac Pain. 1995 Summer;9(3):276-84.
Indomethacin-responsive headaches can present in the orofacial region. According to the classification of headache by the International Headache Society, indomethacin-responsive headaches include chronic paroxysmal hemicrania, hemicrania continue, benign cough headache, benign exertional headache, and sharp, short-lived headache pain syndrome. The mechanism by which indomethacin produces its therapeutic effects in these headache disorders remains speculative. A review of indomethacin-responsive headaches and eight cases in which the presenting symptom was orofacial pain are reported. Because these headache disorders are rare but may present as facial pain, they should be considered in the differential diagnosis of orofacial pain. A comprehensive evaluation prior to performing irreversible treatments is essential when an idiopathic facial pain presents to the dental clinician.
吲哚美辛反应性头痛可出现在口面部区域。根据国际头痛协会的头痛分类，吲哚美辛反应性头痛包括慢性阵发性半侧头痛、持续性半侧头痛、良性咳嗽性头痛、良性用力性头痛以及尖锐、短暂性头痛疼痛综合征。吲哚美辛在这些头痛疾病中产生治疗作用的机制仍属推测。本文报告了对吲哚美辛反应性头痛的综述以及8例以口面部疼痛为首发症状的病例。由于这些头痛疾病较为罕见，但可能表现为面部疼痛，因此在口面部疼痛的鉴别诊断中应予以考虑。当特发性面部疼痛出现在牙科临床医生面前时，在进行不可逆治疗之前进行全面评估至关重要。
