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Trigeminal autonomic cephalalgias presenting in a multidisciplinary tertiary orofacial pain clinic
ABSTRACT: Orofacial pain may have a variety of causes and offers a significant clinical challenge for its diagnosis and management. OBJECTIVE: To assess the headache disorders presenting in a tertiary multidisciplinary orofacial pain clinic, after dental causes have been excluded. METHODS: Clinic le...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Milan
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6734481/ https://www.ncbi.nlm.nih.gov/pubmed/31185885 http://dx.doi.org/10.1186/s10194-019-1019-7 |
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author | Wei, D. Y. Moreno-Ajona, D. Renton, T. Goadsby, P. J. |
author_facet | Wei, D. Y. Moreno-Ajona, D. Renton, T. Goadsby, P. J. |
author_sort | Wei, D. Y. |
collection | PubMed |
description | ABSTRACT: Orofacial pain may have a variety of causes and offers a significant clinical challenge for its diagnosis and management. OBJECTIVE: To assess the headache disorders presenting in a tertiary multidisciplinary orofacial pain clinic, after dental causes have been excluded. METHODS: Clinic letters from the initial consultation and subsequent follow up reviews of the 142 patients, who were seen in the tertiary Multidisciplinary Orofacial Pain clinic between January 2015 until January 2018 were reviewed as a clinical audit. RESULTS: The most common diagnoses were possible trigeminal autonomic cephalalgia (n = 62, 44%), migraine (n = 38, 27%) and painful post-traumatic trigeminal neuropathy (n = 17, 12%). The most common trigeminal autonomic cephalalgia diagnosis was hemicrania continua (n = 13, 9%), which is higher than the reported prevalence in neurology and headache clinics. CONCLUSION: This study demonstrates the importance of a multidisciplinary approach to diagnosing complex orofacial pain patients and the importance of awareness of primary headache disorders, in particular trigeminal autonomic cephalalgias, thereby reducing unnecessary diagnostic delays or procedures. |
format | Online Article Text |
id | pubmed-6734481 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Springer Milan |
record_format | MEDLINE/PubMed |
spelling | pubmed-67344812019-09-12 Trigeminal autonomic cephalalgias presenting in a multidisciplinary tertiary orofacial pain clinic Wei, D. Y. Moreno-Ajona, D. Renton, T. Goadsby, P. J. J Headache Pain Research Article ABSTRACT: Orofacial pain may have a variety of causes and offers a significant clinical challenge for its diagnosis and management. OBJECTIVE: To assess the headache disorders presenting in a tertiary multidisciplinary orofacial pain clinic, after dental causes have been excluded. METHODS: Clinic letters from the initial consultation and subsequent follow up reviews of the 142 patients, who were seen in the tertiary Multidisciplinary Orofacial Pain clinic between January 2015 until January 2018 were reviewed as a clinical audit. RESULTS: The most common diagnoses were possible trigeminal autonomic cephalalgia (n = 62, 44%), migraine (n = 38, 27%) and painful post-traumatic trigeminal neuropathy (n = 17, 12%). The most common trigeminal autonomic cephalalgia diagnosis was hemicrania continua (n = 13, 9%), which is higher than the reported prevalence in neurology and headache clinics. CONCLUSION: This study demonstrates the importance of a multidisciplinary approach to diagnosing complex orofacial pain patients and the importance of awareness of primary headache disorders, in particular trigeminal autonomic cephalalgias, thereby reducing unnecessary diagnostic delays or procedures. Springer Milan 2019-06-11 /pmc/articles/PMC6734481/ /pubmed/31185885 http://dx.doi.org/10.1186/s10194-019-1019-7 Text en © The Author(s). 2019 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. |
spellingShingle | Research Article Wei, D. Y. Moreno-Ajona, D. Renton, T. Goadsby, P. J. Trigeminal autonomic cephalalgias presenting in a multidisciplinary tertiary orofacial pain clinic |
title | Trigeminal autonomic cephalalgias presenting in a multidisciplinary tertiary orofacial pain clinic |
title_full | Trigeminal autonomic cephalalgias presenting in a multidisciplinary tertiary orofacial pain clinic |
title_fullStr | Trigeminal autonomic cephalalgias presenting in a multidisciplinary tertiary orofacial pain clinic |
title_full_unstemmed | Trigeminal autonomic cephalalgias presenting in a multidisciplinary tertiary orofacial pain clinic |
title_short | Trigeminal autonomic cephalalgias presenting in a multidisciplinary tertiary orofacial pain clinic |
title_sort | trigeminal autonomic cephalalgias presenting in a multidisciplinary tertiary orofacial pain clinic |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6734481/ https://www.ncbi.nlm.nih.gov/pubmed/31185885 http://dx.doi.org/10.1186/s10194-019-1019-7 |
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