Diferenciando a neuralgia occipital da enxaqueca sem aura e da cefaleia do tipo tensional

Autores

  • Omar Franklin Molina DDS, MDS, Post Doct in Orofacial Pain, Professor and Researcher, UNIRG, Dental School, Gurupi-TO, Brazil.
  • Zeila Coelho Santos DDS, MDS, Professor and Researcher in Orthodontics and Orofacial Pain, UNIRG, Dental School, Gurupi-TO, Brazil.
  • Laura Martins DDS, MDs, Ph.D, Director: CEPRENO, Ribeirão Preto-SP, Brazil
  • Bruno Ricardo Simião DDS, MDS, Professor and Researcher, UNIRG, Dental School, Gurupi- -TO, Brazil
  • Douglas Oliveira Andrade DDS, Graduate Student, Professor of Oral Surgery, UNIRG, Dental School, Gurupi-TO, Brazil.
  • Sérgio Elias Cury DDS,MDS, Ph.D, Professor/Researcher UNIFOA, Dental School, Volta Redonda-RJ, Brazil.
  • Marcos Rank DDS, Graduate MSD Student (SLM University), Professor/Researcher UNIRG, Dental School, Gurupi-TO, Brazil.

DOI:

https://doi.org/10.34024/rnc.2014.v22.8071

Palavras-chave:

Occipital, Cefaleia do Tipo Tensional, nxaqueca sem Aura, Autonômicos, Dor

Resumo

Objetivo. Estabelecer diagnóstico diferencial nos indivíduos com distúrbios craniomandibulares e bruxismo apresentando sintomas e sinais de neuralgia occipital, cefaléia do tipo tensional e enxaqueca sem aura. Método. Analisamos 32 pacientes com neuralgia occipital (idade média 38; 75% feminino), 102 com cefaleia tensional (ida­de média 33; 92,2% feminino) e 16 com enxaqueca sem aura (idade média 37; 56,3% feminino). Os sintomas específicos de dor de cabe­ça foram utilizados de acordo com a Classificação Internacional das Dores de Cabeça em pacientes com distúrbios craniomandibulares e bruxismo. Resultados. O grupo com occipital neuralgia apresentou mais náusea (78,1%), vômito (62,5%), fotofobia (71,8%), pontada latejante (53,1%), pontada (78,1%), dor intensa (93,7%), queimação (68,8%) e sensibilidade do nervo occipital (100%) do que o grupo com cefaleia tensional (p=0,0001). O grupo com occipital neuralgia apresentou mais pontada (78,1%), queimação (68,8%) e sensibilidade do nervo occipital (100%) do que o grupo com enxaqueca sem aura (p<0,05). O grupo com enxaqueca sem aura apresentou mais vômito (94%; p=0,03) e fotofobia (100%; p=0,02) do que o grupo com neu­ralgia occipital. Conclusão. Náusea, vômito, fotofobia, dor latejante, em pontada, dor mais intensa, em queimação e sensibilidade sobre o nervo occipital, diferenciam a neuralgia occipital, enquanto que pon­tada, queimação e sensibilidade sobre o nervo occipital, diferenciam a neuralgia occipital da enxaqueca sem aura.

Downloads

Não há dados estatísticos.

Métricas

Carregando Métricas ...

Referências

Ruiz-López R, Erdine S. Treatment of cranio-facial pain with radiofrequency procedures. Pain Pract 2002;2:206-13. http://dx.doi.org/10.1046/j.1533-2500.2002.02025.x

Barna S, Hashmi M. Occipital neuralgia. Pain Manage Rounds 2004;1(7):1-6.

Yi X, Cook AJ, Hamill-Ruth RJ, Rowlingson JC. Cervicogenic headache in patients with presumed migraine: missed diagnosis or misdiagnosis? Pain2005;6:700-3. http://dx.doi.org/10.1016/j.jpain.2005.04.005

Ward JB. Greater occipital nerve block. Semin Neurol 2003;23:59-62. http://dx.doi.org/10.1055/s-2003-40752

Franzini A, Messina G, Leone M, Broggi G. Occipital nerve stimulation (ONS). Surgical technique and prevention of late electrode migration. Acta Neurochir 2009;151:861-5. http://dx.doi.org/10.1007/s00701-009-0372-8

Sahai-Srivastava S, Zheng L. Occipital neuralgia with and without migraine: Difference in pain characteristics and risk factors. Headache 2011;51:124-8. http://dx.doi.org/10.1111/j.1526-4610.2010.01788.x

Ducic I, Hartman EC, Larson EE. Indications and outcomes for surgical treatment of patients with chronic migraine headaches caused by occipital neuralgia. Plast Reconst Surg 2009;123:1453-60. http://dx.doi.org/10.1097/PRS.0b013e3181a0720e

Weiss C, Meza N, Rojo A, Hernández J. Neuralgia occipital (Arnold): Relato de dos casos y revisión de la literatura. Rev Memo Com 2009;3:8-16.

Evans RW. Diagnostic testing for headache. Med Clin North Am 2001;85:865-85.

Kapoor V, Rothfus WE, Grahovac SZ, Stephen Z, Kassam A. Horowitz MW. Refractory occipital neuralgia: Preoperative assessment with CT guided nerve block prior to dorsal cervical rhyzotomy. AJNR Amer J Neuroradiol 2003;24:2105-10.

Piovesan EJ, Di Stani F, Kowacs A, Mulinari RA, Radunz VH, Utiumi M, et al. Massaging over the greater occipital nerve reduces the intensity of migraine attacks. Arq Neuropsiquiatr 2007;65:599-604. http://dx.doi.org/10.1590/S0004-282X2007000400010

Mehta SA, Epstein JB, Greene C. Recognition and management of headache. JCDA 2006;72:835-9.

The International Classification of headache disorders: 2nd edition. Headache Classification Subcommittee of the International Headache Society. Cephalalgia 2004;24(Suppl 1):9-160. http://dx.doi.org/10.1111/j.14682982.2003.00824.x

Molina OF, Peixoto MG, Eid NL, Aquilino RN, Rank RC. Headache and bruxing behavior types in craniomandibular disorders (CMDs) patients.Rev Neurocienc 2011;19: 449-57.

Molina OF, dos Santos J, Nelson SJ, Nowlin T. A clinical study of signs and symptoms of CMDs in bruxers classified by the degree of severity. J Craniomand Pract 1999;17:268-79.

Skaribas I, Aló K. Ultrasound imaging and occipital nerve stimulation. Neuromodulation 2010;13:126-30. http://dx.doi.org/10.1111/j.1525-1403.2009.00254.x

Weiner RL, Reed KL. Peripheral stimulation for control of intractable occipital neuralgia. Neuromodulation 1999;2:217-21. http://dx.doi.org/10.1046/j.1525-1403.1999.00217.x

Yadla S, Ratliff SJ., Harrop JS. Whiplash: Diagnosis, treatment and associated injuries. Curr Rev Musculoskelet Med 2008;1:65-8. http://dx.doi.org/10.1007/s12178-007-9008-x

Rampello L, Vecchio I, Migliore M, Malaguarnera M, Malaguarnera G. The most frequent and surgical neuralgias: physiopathology and clinical pictures. Acta Med Medit 2012;28:109-11.

Pielsticker A, Haag G, Zaudig M, Lautenbacher S. Impairment of pain inhibition in chronic tension-type headache. Pain 2005;118:215-23. http://dx.doi.org/10.1016/j.pain.2005.08.019

Nadkar MY, Desai SD, Itolikar MW. Migraine: Pitfalls in the diagnosis. JAPI;2010;58:10-3.

Gabrhelik T, Michálek P, Adamus M. Pulsed radiofrequency therapy versus greater occipital nerve block in the management of refractory cervicogenic headache: a pilot study. Prague Med Rep 2011;112:279-87. http://dx.doi.org/10.1016/S1754-3207(11)70669-1

Bano I, Chaudhary WA, Ashfaq M. Interventional pain management techniques can be helpful in headache management. Anaesth Pain Intens Care 2011;15:60-4.

Biondi DA. Cervicogenic headache: Diagnostic evaluation and treatment strategies. Pain Manag Rounds 2004;1:1-6.

Magown P, Garcia R, Beauprie I, Méndez IM. Occipital nerve stimulation for intractable occipital neuralgia: An open surgical technique. Clin Neurosurg 2009;56:119-24.

Waldie KE, Poulton R. Physical and psychological correlates of primary headache in young adulthood: A 26 year longitudinal study. J Neurol Neurosurg Psychiatry 2002;72:86-92. http://dx.doi.org/10.1136/jnnp.72.1.86

Tsuboi K. Tension-type headache. JMAJ 2002;45:202-6.

Downloads

Publicado

2014-09-30

Como Citar

Molina, O. F., Santos, Z. C., Martins, L., Simião, B. R., Andrade, D. O., Cury, S. E., & Rank, M. (2014). Diferenciando a neuralgia occipital da enxaqueca sem aura e da cefaleia do tipo tensional. Revista Neurociências, 22(3), 425–431. https://doi.org/10.34024/rnc.2014.v22.8071

Edição

v. 22 n. 3 (2014)

Seção

Artigos Originais
Recebido: 2019-02-18
Publicado: 2014-09-30

Artigos mais lidos pelo mesmo(s) autor(es)