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ID 116306
タイトル別表記
Neurovascular Compression in Atypical Odontalgia Patients
著者
Kawasaki, Kaoru Tokyo Medical and Dental University|Ohu University
Sugawara, Shiori Tokyo Medical and Dental University
Watanabe, Kazuya Tokyo Medical and Dental University
Hong, Chaoli Tokyo Medical and Dental University
Tu, Trang Thi Huyen Tokyo Medical and Dental University
Sakamoto, Junichiro Tokyo Medical and Dental University
Yoshino, Norio Tokyo Medical and Dental University
Suga, Takayuki Tokyo Medical and Dental University
Mikuzuki, Lou Tokyo Medical and Dental University
Takenoshita, Miho Tokyo Medical and Dental University
Takada, Satoshi Ohu University
Kurabayashi, Tohru Tokyo Medical and Dental University
Toyofuku, Akira Tokyo Medical and Dental University
キーワード
Persistent Idiopathic Facial Pain (PIFP)
Atypical Odontalgia (AO)
Neurovascular Compression (NVC)
Trigeminal Nerve
Neuropathic Pain
Functional Somatic Symptom
資料タイプ
学術雑誌論文
抄録
Background. Persistent idiopathic facial pain (PIFP) is the unexplained pain along the territory of the trigeminal nerve, including nonorganic tooth pain called atypical odontalgia (AO). Though PIFP is debilitating to patients’ livelihood and well-being, its pathophysiology remains poorly understood. Although neurovascular compression (NVC) of the trigeminal nerve is known to be associated with trigeminal neuralgia (TN), the relationship between NVC and other orofacial pains has not been fully elucidated. Methods. In this study, we investigated the differences in the characteristics of PIFP (primarily AO) patients in the presence or absence of NVC. A retrospective analysis was performed on data from 121 consecutive patients who had been diagnosed with unilateral PIFP according to the criteria of the International Classification of Headache Disorders (ICHD)–3 and underwent magnetic resonance imaging scans of the head. Results. In the group without NVC, characteristic findings were significant for psychiatric morbidity, somatization, and pain disability, when compared with the group with NVC. Furthermore, the group without NVC exhibited significant headache, noncardiac chest pain, shortness of breath, and pain catastrophizing. Conclusions. These results suggest that PIFP patients can be divided into two groups: one consistent with a neuropathic pain phenotype when NVC is present and a functional somatic symptom phenotype when presenting without NVC. Our findings may enable a more precise understanding of pathophysiology of PIFP and lead to better treatment strategies.
掲載誌名
Pain Medicine
ISSN
15264637
cat書誌ID
AA11706356
出版者
American Academy of Pain Medicine|Faculty of Pain Medicine ANZCA|Oxford University Press
21
4
開始ページ
814
終了ページ
821
発行日
2020-02-10
権利情報
This is an Open Access article distributed under the terms of the Creative Commons Attribution-NonCommercial-NoDerivs licence (http://creativecommons.org/licenses/by-nc-nd/4.0/), which permits non-commercial reproduction and distribution of the work, in any medium, provided the original work is not altered or transformed in any way, and that the work is properly cited. For commercial re-use, please contactjournals.permissions@oup.com
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出版社版DOI
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フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
医学系