Article Data

  • Views 463
  • Dowloads 65

Case Reports

Open Access

Unnecessary Extractions in Patients with Hemicrania Continua: Case Reports and Implication for Dentistry

  • Sanjay Prakash1,*,
  • Nilima D. Shah1
  • Bhavna V. Chavda1

1Coll Med, Dept Neurol, Baroda, Gujarat, India

2Coll Med, Dept Psychiat, Baroda, Gujarat, India

3Coll Med, Dept Med, Baroda, Gujarat, India

DOI: 10.11607/jofph.24.4.10 Vol.24,Issue 4,December 2010 pp.408-411

Published: 30 December 2010

*Corresponding Author(s): Sanjay Prakash E-mail: drprakashs@yahoo.co.in

Abstract

Headache and facial pain are both very high in the general population. Headache has been identified as one of the associated conditions in patients with chronic orofacial pain. The interrelation between the two has not been explored in the literature. Patients with facial pain often initially seek the care of a dentist. Misdiagnosis and multiple failed treatments (including invasive procedures) are very common in this population. This case report describes four patients whose condition fulfilled the International Headache Society’s criteria for hemicrania continua but whose teeth were extracted because their pain was suspected to be of odontogenic origin. Each patient’s records and the literature were reviewed for possible reasons for the unnecessary extractions. The findings suggest that initial treatment with drugs specific for primary headache disorders should be instituted before subjecting patients to invasive procedures.

Keywords

facial pain;headache;hemicrania continua;indomethacin;indomethacin responsive headaches

Cite and Share

Sanjay Prakash,Nilima D. Shah,Bhavna V. Chavda. Unnecessary Extractions in Patients with Hemicrania Continua: Case Reports and Implication for Dentistry . Journal of Oral & Facial Pain and Headache. 2010. 24(4);408-411.

References

1. castillo J, Muñoz P, Guitera V, Pascual J. Epidemiology of chronic daily headache in the general population. Headache 1999;39:190–196.

2. Madland G, feinmann c. chronic facial pain: a mul- tidisciplinary problem. J neurol neurosurg Psychiatry 2001;71:716–719.

3. Dando WE, Branch Ma, Maye JP. Headache disability in orofacial pain patients. Headache 2006;46:322–326.

4. Balasubramanian r, Klasser GD, Declanho r. Trigeminal autonomic cephalalgias: a review and implication for den- tistry. J am Dent assoc 2008;139:1616–1624.

5. Obermann M, Muller D, Yoon M-S, Pageler L, Diener H, Katsarava Z. Migraine with isolated facial pain: a diagnos-tic challenge. cephalalgia 2007; 27:1278–1282.

6. Moncada E, Graff-radford SV. Benign indomethacin re- sponsive headache presenting in the orofacial region: Eight case reports. J Orofac Pain 1995;9:276–284.

7. alonso aa, nixdorf Dr. case series of four different head- ache types presenting as tooth pain. J Endod 2006;32: 1110–1113.

8. Taub D, Stiles a, Tucke aG. Hemicrania continua present- ing as temporomandibular joint pain. Oral Surg Oral Med Oral Pathol Oral radiol Endod 2008;105:e35–e37.

9. Benoliel r, robinson S, Eliav E, Sharav Y. Hemicrania con- tinua. J Orofac Pain 2002;16:317–325.

10. iordanidis T, Sjaastad O. Hemicrania continua: a case re- port. cephalalgia 1989;9:301–303.

11. Trucco M, antonaci f, Sandrini G. Hemicrania continua: a case responsive to piroxicam-beta-cyclodextrin. Headache 1992;32:39–40.

12. israel Ha, Ward JD, Horrell B, Scrvani SJ. Oral and max- illofacial surgery in patients with chronic orofacial pain. J Oral Maxillofac Surg 2003;61:662–667.

13. Patro BK, Kumar Br, Goswami a, Prakash Mathur VP, nongkynrih B. Prevalence of dental caries among adults and elderly in an urban resettlement colony of new Delhi. indian J Dent res 2008;19:95–98.

14. rossi P, faroni J, Tassorelli c, nappi G. Diagnostic delay and suboptimal management in areferral population with hemicrania continua. Headache 2009;49:227–234.

15. Headache classification Subcommittee of the international Headache Society. The international classification of head- ache disorders, ed 2. cephalalgia 2004;24 (suppl 1):1–160.

16. Peres Mf, Silberstein SD, nahimas S, et al. Hemicrania con- tinua is not that rare. neurology 2001;57:948–951.

17. Melis M, Lobo SL, caroline ceneviz c, et al. atypical odontalgia: a review of the literature. Headache 2003;43: 1060–1074.

18. Prakash S, Shah nD, Bhanvadia rJ. Hemicrania continua unresponsive or partially responsive to indomethacin: Does it exist? a diagnostic and therapeutic dilemma. J Headache Pain 2009;10:59–63.

19. newman Lc, Lipton rB, Solomon S. Hemicrania continua: Ten new cases and a review of the literature. neurology 4;44:2111–2114.

Abstracted / indexed in

Science Citation Index (SCI)

Science Citation Index Expanded (SCIE)

BIOSIS Previews

Scopus

Cumulative Index to Nursing and Allied Health Literature (CINAHL)

Submission Turnaround Time

Conferences

Top