• Arq Neuropsiquiatr · Feb 2014

    Temporo-mandibular disorders are an important comorbidity of migraine and may be clinically difficult to distinguish them from tension-type headache.

    • Ariovaldo Alberto da Silva Jr, Karina Viana Brandão, Bruno Engler Faleiros, Rafael Mattos Tavares, Rodrigo Pinto Lara, Eduardo Januzzi, Anísio Bueno de Carvalho, Eliane Maria Duarte de Carvalho, João Bosco Lima Gomes, Frederico Mota Gonçalves Leite, Betania Mara Franco Alves, Rodrigo Santiago Gómez, and Antônio Lúcio Teixeira.
    • Hospital das Clínicas, Universidade Federal de Minas Gerais, Faculdade de Medicina, Unifenas-BH, Belo HorizonteMG, Brazil, Attending Neurologist, Serviço de Neurologia, Hospital das Clínicas, Universidade Federal de Minas Gerais, and Professor of Neurology, Faculdade de Medicina, Unifenas-BH, Belo Horizonte MG, Brazil;
    • Arq Neuropsiquiatr. 2014 Feb 1;72(2):99-103.

    UnlabelledClinical differentiation between the primary headaches and temporomandibular disorders (TMD) can be challenging.ObjectivesTo investigate the relationship between TMD and primary headaches by conducting face to face assessments in patients from an orofacial pain clinic and a headache tertiary center.MethodSample consists of 289 individuals consecutively identified at a headache center and 78 individuals seen in an orofacial pain clinic because of symptoms suggestive of TMD.ResultsMigraine was diagnosed in 79.8% of headache sufferers, in headache tertiary center, and 25.6% of those in orofacial pain clinic (p<0.001). Tension-type headache was present in 20.4% and 46.1%, while the TMD painful occurred in 48.1% and 70.5% respectively (p<0.001).ConclusionTMD is an important comorbidity of migraine and difficult to distinguish clinically from tension-type headache, and this headache was more frequent in the dental center than at the medical center.

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