Diagnóstico diferencial del dolor orofacial II. Asociado a desórdenes neurovasculares, vasculares y musculoesqueléticos

  • Rodolfo Acosta-Ortiz Nova Southeastern University, Florida
Keywords: Pain, Orofacial pain, Differential diagnosis, Headache, Migrane, Tension type headache, Cluster headache, cranial arteritis, Carotidyna, Temporomandibular disorders, Myofascial pain, Fibromyalgia


This article is the second of three articles which describes the different pathologic conditions that sholud be considered in the stablishment of a correct differential diagnosis in the patients presenting pain in the orofacial region. Neurovascular (migraines, cluster headaches, paroximal hemicranea), vascular (temporal ateritis, carotidinya) and musculoskeletal (tension type headache, temporomandibular disorders, myofascial pain, fibromyalgia, spinocervical disorders) disorders will be reviewed.

= 5 veces | PDF (ESPAÑOL (ESPAÑA))
= 35 veces|


Download data is not yet available.


1. Acosta-Ortiz R. Diagnóstico diferencial del dolor orofacial I. Asociado a estructuras intracraneanas, extracraneanas y desórdenes sicogénicos. Rev Fac Odont Univ Ant, 2001, 13(1): 5-16.

2. Lipton RB; Stewart WF. Migrane headaches: epidemiology and comorbidity. Neurol Clin 1997; 15: 1-14.

3. Rasmussen BK; Lensen R; Schroll M; Olesen J. Epidemiologic of headache in a general population _ A prevalence study. J Clin Epidemiol 1991; 44:1147-1157.

4. Rasmussen BK, Stewart WF. Epidemiology of migrane. In: Olesen J, Tfelt-Hansen P, Welch K.M.A. Ed. The headaches. Phladelphia, Lippincot Williams & Wilkins. 2000.

5. Rasmussen BK. Epidemiology of Headache. Cephalalgia 1995, 25: 45-68.

6. Lance JW, Goadsby PJ. Mechanism and management of headache. 6 ed, Oxford, Butterworth, 1998.

7. Olensen J, Goadsby PJ. Synthesis of migrane mechanisms. In: Olesen J, Tfelt-Hansen P, Welch K.M.A. Ed. The headaches. Philadelphia: Lippincot Williams& Wilkins, 2000.

8. MacGregor EA. Mestruation, sex, hormons and migranes. Neurolo Clin 1997; 15:125-142.

9. Gardner K. The genetic basis of migrane: How much do we know? Can J Neurol Sci 1999; 26 Suppl 3: S37-43.

10. Silberstein SD, Lipton RB, Goadsby PJ. Headache in clinical practice. Oxford: ISIS Medical Media, 1998.

11. Copovianco DJ, Cheshire WP, Campbell JK. An overview of the diagnosis and pharmacological treatment of migrane. Clin Proc 1996; 71: 1055-1066.

12. Pryse-Phillips WEM, Dodick D, Edmeads JD, Gawel MJ, et al. Guidelines for the diagnosis and management of migrane in clinical practice. Can Med Assoc J 1997; 156: 1273-1287.

13. Hamel E, Saxena PR. 5-Hydroxytryptamine involvement in migrane. In: Olesen J, Tfelt-Hansen P, Welch K.M.A. Ed. The headaches. Philadelphia: Lippincot Williams & Wilkins. 2000.

14. Manzoni GC, Prusinski A. Cluster headache: Introduction. In: Olesen J, Tfelt-Hansen P, Welch K.M.A. Ed. The headaches. Philadelphia: Lippincot Williams& Wilkins. 2000.

15. Maytal J; Lipton RB; Solomon S; Shinar S. Childhood onset cluster headache. Headache 1992; 32:275-279.

16. Manzoni GC. Cluster headache and lifestyle: remarks on a population of 374 male patients. Cephalalgia 1999; 19: 88-94.

17. Kudrow L. Clinical symptomathology and differential diagnosis of cluster headaches. In: Tollison CD; Kunkel RS. Headache. Diagnosis and treatment. Baltimore: Williams&Wilkins, 1993.

18. Mendizabal JE. Cluster headache. Arch Neurol 1999; 56: 1413-1416.

19. Kudrow L. Pathogenesis of cluster headaches. In: Tollison CD, Kunkel RS. Headache.Diagnosis and treatment. Baltimore: Williams&Wilkins, 1993.

20. Goadsby PJ. Bahra A. May A. Mechanisms of cluster headache. Cephalalgia 1999; 19 Suppl 23:19-21.

21. Bukle P, Kerr P; Kryger M. Nocturnal cluster headache associated with sleep apnea. A case report. Sleep 1993;16: 487-489.

22. Bittar G, Graff-Radford SB. A retrospective study of patients with cluster headache. Oral Surg Oral Med Oral Pathol 1992; 73: 519-525.

23. Pearce JM. Cluster headache and its variants. Postgrad Med J 1992; 68: 517-521.

24. Mathew NT. Cluster headache. Semin Neurol 1997; 17: 313-323.

25. Sjaastad O, Salvesen R. The treatment of cluster headache. Functional Neurol 1998; 13: 279-84.

26. Russell D, Vincent M. Chronic paroxysmal hemicrania. In: Olesen J, Tfelt-Hansen P, Welch K.M.A. Ed. The headaches. Philadelphia: Lippincot Williams& Wilkins, 2000.

27. Benoliel R, Sharav Y. Paroxysmal hemicrania. Case Studies and review of the literature. Oral Surg Oral Med Oral Pathol 1998; 85(3): 285-292.

28. Graff-Radford SB. Paroxysmal hemicrania. Oral Surg Oral Med Oral Path 1998; 86: 138-142.

29. Newman LC, Gordon ML, Lipton RB, Kanner R. et al. Episodic paroxysmal hemicrania: Two cases and a literature review. Neurol 1992; 42: 964-966.
30. Spierings EL. Episodic and chronic paroxysmal hemicrania. Clin J Pain 1992; 8:44-48.

31. Moncada E, Graff-Rardford SB. Bening indometacin-responsive headache presenting in the orofacial region: Eight case reports. J Orofac Pain 1995; 9: 276-84.

32. Ganchi FD; Dutton GN. Curent concepts in giant cell (temporal) arteritis. Surv Opthalmol 1997; 42: 99-123.

33. Gur H, Rampa E, Ehrenfeld M, Sidi Y. Clinical manifestation of temporal arteritis: A report from Israel. J Rehumathol 1996; 23; 1927-1931.

34. Hayreh SS, Podhajsky PA, Raman R, Zimmerman B.Giant cell arteritis: Validity and reliability of various diagnostic criteria. Am J Ophtalmol 1997; 123: 285-296.

35. Kleinegger CL; Lilly GE. Cranial arteritis: a medical emergency with orofacial manifestations. J Am Dent Assoc 1999; 130:1203-1209.

36. Hayreh SS, Podhajsky PA, Zimmerman B. Occult giant cell arteritis: Ocular manifestations. Am J Ophtalmol 1998;123: 521-526.

37. Hayreh SS, Podhajsky PA, Zimmerman B. Ocular manifestations of giant cell arteritis. Am J Ophtalmol 1998; 125: 509-520.

38. Rodriguez-Valverde V, Sarabia JM, Gonzales-Gay MA, Figueroa M; Armona J, et al. Risk factors and predictive models of giants cell arteritis in polymyalgia rheumatica. Am J Med 1997; 102: 331-336.

39. Dwolatzky T, Sonnenblick M, Nesher G. Giant cell arteritis and polymyalgia rheumatica: Clues to early diagnosis. Geriatrics 1997; 52: 384-40

40. Duhaut P, Bosshard S, Calvet A, Pinede L, Demolombe-Rague S, et al. Giant cell arteritis, polymyalgia rheumatica, and viral hypotheses: a multicenter, prospective case-control study. J Rheumatol. 1999; 26: 361-369.

41. Cannon CR. Carotidynia: An unusual pain in the neck. Otolaryngol Head Neck Surg 1994; 110: 387-390.

42. Chambers BR, Donnan GA, Riddell RJ, Bladin PF. Carotidinya: Aetiology, diagnosis and treatment. Clin Exper Neurol 1981; 17:113-123.

43. Raskin NH; Prusiner S. Carotidinya. Neurology 1977; 27:43-46.

44. Lovihs LL. Carotidinya. Headache 1977; 17:192-195.

45. Emmanuelli JL, Gutierrez JR, Chiossone JA, Chiossone E. Carotidynia: a frequently overlooked or misdiagnosed syndrome. Ear Nose Throat J 1998; 77: 462-469.

46. Biousse V, Mitsias P. Carorid or vertebral artery pain. In Olesen J, Tfelt-Hansen P; Welch K.M.A. Ed. The headaches. Philadelphia: Lippincot Williams& Wilkins, 2000.

47. Schwartz BS, Stewart WF, Simon D, Lipton RB. Epidemiology of tension-type headache. JAMA 1998; 279: 381-383.

48. Jensen R. Pathophysiological mechanisms of tension-type headache: a review of epidemiological and experimental studies. Cephalalgia. 1999; 19: 602-621.

49. Olesen J, Tfelt-Hansen P, Welch K.M.A. Ed. The headaches. Philadelphia: Lippincot Williams& Wilkins, 2000.

50. Schoenen J, Wang W. Tension-Type Headache. In: Goadsby PJ, Silberstein SD. Blue Book of practical neurology. Headache. Boston: Butterwoeth-Heinemann, 1997.

51. Carlsson GE, DeBoever JA. Epidemiology. In: Zarb GA, Carlsson GE, Sessle BJ, Mohl ND. Temporomandibular joint and masticatory muscle disorders. St. Louis: Mosby, 1994.

52. American Academy of orofacial pain. Okeson JP. Ed. Orofacial Pain. Guidelines for clasification, assessment, and management. Chicago: Quintessence, 1996.

53. Schiffman E, Fricton JR, Haley D, et al. The prevalence and treatment needs of subjects with temporomandibular disorders. J Am Dent Assoc 1989; 120: 295-304.

54. Pullinger A, Seligman DA. Overbite and overjet characteristic of refined diagnostic groups of temporomandibular patients. Am J Orthod Dentofac Orthop 1991; 100: 401-415.

55. Lund JP, Lavigne GJ, Dubner R, Sessle BJ. Orofacial pain: form basic science to clinical management. Chicago: Quintessence, 2001.

56. Haley D, Schiffman E, Baker C; Belgrade M. The comparison of patients suffering from temporomandibular disorders and a general headache population. Headache 1993; 33: 210-213.

57. Gerstner GE, Clark GE, Goulet JP. Validity of a brief questionnaire in screening asymptomatic subjects with tension type headache or temporomandibular disorders. Commun Dent Oral Epidemiol 1994; 22:235-242.

58. Plesh O, Wolfe F, Lane N. The relationship between fibromyalgia and temporomandibular disorders: Prevalence and symptom severity. J Reumathol 1996; 23:1948-1952.

59. Aaron LA; Burke MM. Buchwald D. Overlapping conditions among patients with chromic fatigue syndrome, fibromyalgia, and temporomandibular disorder. Arch Inter Med. 2000; 160: 221-227.

60. Kuttila S, Kuttila M, LeBell Y, Alanen P. et al. Aural symptoms and signs of temporomandibular disorders. Laryngoscope 1999; 109:1669-1673.

61. Bush FM, Harkins SW. Harrington WG. Otalgia and aversive symptoms in temporomandibular disorders. Ann Otology Rhinol Laryngol 1999; 108:884-892.

62. Fricton JR, Awad EA (eds) Advances in Pain Research and Therapy. Myofascial Pain and Fibromyalgia. New York, Raven Press, 1990, p 107.

63. Travell JG, Simons DG. Myofascial Pain and Dysfunction: The Trigger Point Manual. Baltimore: Williams&Wilkins, 1983.

64. Skootsky SA, Jaeger B, Oye RK. Prevalence of myofascial pain in general internal medicine practice. West J Med 1989; 151:157-160.

65. Fishbain DA, et al. Male and female chronic pain patients categorazed by DSM-III psychiatric diagnostic criteria. Pain 1986; 26: 181-197.

66. Fricton JR, Kroening R, Haley et al. Myofascial pain syndromes of the head and neck: a review of clinical characteristics of 164 patients. Oral Surg Oral Pathol Oral Med 1985; 60: 615-623.

67. Davidoff RA. Trigger points and myofascial pain: toward understanding how they affect headaches. Cephalalgia. 1998; 18: 436-448.

68. Raphael KG, Marbach JJ; Klausner J. Myofascial face pain. Clinical charateristics of those with regional vs widespread pain. J Am Dent Assoc 2000; 131: 161-177.

69. Fricton JR. Myofascial pain of the head and neck: diagnosis and management. J Back Musculoeskel Rehab 1996; 6: 177-188.
70. Jacobsen S, Danneskiold-Samsfe B, Lund B. Musculoskeletal pain, myofascial pain syndrome, and the fibromyalgia syndrome. New York: The Haworth Medical Press, 1993.

71. Wolfe F. Fibromyalgia. In Sessle BJ, Bryant PS, Dionne RA. Temporomandibular disorders and related pain conditions. Progress in pain research and management. IASP press, Seattle, 1995. Vol 4.

72. Bengtsson A, Henriksson KG, Jorfeldt L et al. Primary fibromialgia. A clinical and laboratory study of 55 patients. Scand J Rheumathol 1986; 15:340-347.

73. Wolfe F, Smythe HA, Yunus MB et al. The American college of rheumathology 1990 criteria for the classification of fibromyalgia: report of multicenter criteria committee. Arthritis Rheumatol 1990; 33: 160-172.

74. Yunus MB, Masi AT, Aldag JC. A controlled study of prymary fibromyalgia syndrome: clinical features and association with other functional syndromes. J Rheumathol 1989; 19 suppl 62-71.

75. White KP, Speechley M, Harth M, Ostbye T. The London Fibromyalgia Epidemiology Study: comparing the demographic and clinical characteristics in 100 random community cases of fibromyalgia versus controls. J Rheumatol 1999; 26:1577-1585.

76. Dao TT, Reynolds WJ. Tenenbaum HC. Comorbidity between myofascial pain of the masticatory muscles and fibromyalgia. J Orofac Pain. 1997; 11: 232-241.

77. Reilly PA. The differential diagnosis of generalized pain. Best Pract Res Clin Rheumatol 1999; 13: 391-401.

78. Wright EF, Des Rosier KF, Clark MK., Bifano SL. Identifying undiagnosed rheumatic disorders among patients with TMD. J Am Dent Assoc 1997; 128: 738-744.

79. Bogduk N. Headache and the neck. In Goadsby PJ; Silberstein SD. Blue Book of practical neurology. Headache. Boston: Butterwoeth-Heinemann, 1997.

80. Browne PA, Clark GT; Kuboki T, Adachi NY. Concurrent cervical and craniofacial pain. A review of empiric and basic science evidence. Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 1998; 86: 633-640.

81. Grimmer K, Blizzard L, Deyer T. Frequency of headaches associated with the cervical spine and relationships with anthropometric, muscle performance, and recreational factors. Arch Phys Med Rehabil 1999; 80: 512-521.

82. Leone M, D'Amico D, Grazzi L. Attanasio A. Bussone G. Cervicogenic headache: a critical review of the current diagnostic criteria. Pain 1998; 78: 1-5.

83. Edmeads JG. Disorders of the neck: cervicogenic headache. In: Silberstein SD, Lipton RB, Dalessio DJ. Wolff's Headache and other head pain. 7 ed. New York: Oxford University Press. 2001.

84. Sjaastad O, Fredriksen TA, Pfaffenrath V. Cervicogenic headache: Diagnostic criteria. Headache 1990; 30:725-726.

85. Lance JW, Anthony M. Neck-tongue syndrome on sudden turning of the head. J Neurol Neurosurg Psychiatry 1980; 43: 97-101.

86. Webb J, March L, Tindall A. The neck-tongue syndrome: ocurrence with cervical arthritis as well as normals. Reumathol 1984; 11: 530-533.
How to Cite
Acosta-Ortiz R. (2020). Diagnóstico diferencial del dolor orofacial II. Asociado a desórdenes neurovasculares, vasculares y musculoesqueléticos. Revista Facultad De Odontología Universidad De Antioquia, 13(1), 17-28. Retrieved from https://revistas.udea.edu.co/index.php/odont/article/view/343848