歯痛を主訴とした群発頭痛の1例

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Cluster headache is a disorder of unilateral attacks of severe periorbital, supraorbital, or temporal pain that last for 15 to 180min. Generally, the attacks are accompanied by autonomic symptoms, i.e., ipsilateral miosis, lacrimation, conjunctival injection, nasal congestion, and rhinorrhea. The episodic form of cluster headache, observed in approximately 90% of all cluster headache patients, is characterized by its distinct temporal pattern of attacks and remission. During bouts lasting from 2 weeks to 3 months, 1 to 8 headache attacks occur per day or two days and are followed by a period of remission that lasts for a month to years. We describe the case of a patient with episodic cluster headache who experienced odontalgia. A 32-year-old female complained of an attack of extreme pain in the left upper jaw molar region and in the buccal and temporal regions. Generally, her pain attacks lasted for 1 to 2 h ; she experienced 1 to 3 attacks per day. The attacks were accompanied by conjunctival injection and nasal congestion in the left side of the face. Her chief complaint satisfied the diagnostic criteria of episodic cluster headache according to the International Classification of Headache Disorder, 2nd edition. In general, cluster headache causes megalgia in the orbita, but some cluster headache patients experience this pain as odontalgia. Therefore, we believe that many patients with cluster headache consult odontologists. However, many dentists are not interested in understanding the pathophysiology of cluster headache. We hope that dentists develop a more detailed understanding of cluster headache.
福岡歯科大学学会の論文
2008-03-31

歯痛を主訴とした群発頭痛の1例

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