A dor é mais difusa e referida para áreas do trigêmeo na neuralgia occipital

Autores

  • Omar Franklin Molina DDS, MDS, Post Doct (Orofacial Pain), Professor and Researcher in Orofacial Pain, UNIRG, School of Dentistry, Gurupi-TO, Brazil.
  • Zeila Coelho Santos DDS, MDS, Professor and Researcher in Orofacial Pain UNIRG, School of Dentistry, Gurupi-TO, Brazil.
  • Bruno Ricardo Huber Simião DDS, MDS, Professor and Researcher in Prosthodontics and Orofacial Pain, UNIRG-School of Dentistry, Gurupi-TO, Brazil.
  • Sonia Maria Paiva Torres DDS, MDS, Professor and Researcher in Prosthodontics and Orofacial Pain, UNIRG-School of Dentistry, Gurupi-TO, Brazil.
  • Ricardo Léllis Marçal DDs, MDS, Professor and Researcher in Restorative Dentistry, UNIRG- -School of Dentistry, Gurupi-TO, Brazil.
  • Vanessa Bastos Penoni DDS, Professor of Microbiology and Endodontics, UNIRG, School of Dentistry, Gurupi-TO, Brazil.

DOI:

https://doi.org/10.34024/rnc.2014.v22.8072

Palavras-chave:

Dor, Neuralgia, Cefaleia Comum, Cefaleia Tensional

Resumo

Objetivo. Avaliar dor local e referida na neuralgia occipital. Método. Avaliação de prontuários de 32, 16 e 102 pacientes com neuralgia occipital, enxaqueca sem aura e enxaqueca tensional. Critérios para distúrbios craniomandibulares, bruxismo, dores de cabeça, questioná­rios e exame clinico. Resultados. As áreas mais frequentes de dor local e referida na neuralgia occipital foram as regiões temporal, frontal, occipital, sub-occipital, retro-orbitária, cervical e vertex (78,1%). Áre­as mais frequentes de dor local/referida na cefaleia tensional foram as regiões temporal e frontal bilateral em 65 pacientes (63,7%) e as regi­ões cervical, vertex, sub-occipital e parietal (21,6%). Áreas comuns de dor local e referida na cefaleia sem aura foramnas regiões temporal an­terior direita, parietal e occipital, temporal anterior esquerda, parietal, frontal e cervical (62,5%). A mediana de zonas anatômicas com dor foram para neuralgia occipital 3,5; enxaqueca tensional 2,0; enxaque­ca sem aura 2,0 e controles 0,5 (Kruskal-Wallis p<0,0001). Conclu­são. A dor na neuralgia occipital foi mais difusa e mais locais anatô­micos foram relatados. A dor na enxaqueca sem aura foi menos difusa que na neuralgia occipital e mais difusa que na enxaqueca tensional a qual foi mais localizada, bilateral nas regiões temporal e frontal.

Downloads

Não há dados estatísticos.

Métricas

Carregando Métricas ...

Referências

Ruiz-López R, Erdine S. Treatment of craniofacial 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 Manag Rounds 2004;1:1-6.

Yi X, Cook AJ, Hamill-Ruth RJ, Rowlingson JC. Cervicogenic headache in patients with presumed migraine. Missed diagnosis or misdiagnosis? Pain 2005;6:700-3. http://dx.doi.org/10.1016/j.jpain.2005.04.005

Ward JB. Greater occipital nerve block. Sem 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 Neurochiru 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: Relato de caso 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 Neuroradiol2003;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/S0004-82X2007000400010

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: physipathology 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., Simião, B. R. H., Torres, S. M. P., Marçal, R. L., & Penoni, V. B. (2014). A dor é mais difusa e referida para áreas do trigêmeo na neuralgia occipital. Revista Neurociências, 22(3), 438–445. https://doi.org/10.34024/rnc.2014.v22.8072

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)