Diagnóstico diferencial del dolor orofacial III. Asociado a desórdenes neuropáticos
This is the last of three articles that have the purpose of presenting a literature review of the conditions that have been considered to establish the differential diagnosis of different orofacial pain conditions (OFP). In this article, neuropathic disorders both episodic (trigeminal neuralgia, glosopharingeal neuralgia, occipital neuralgia) and continuos (neuritis, postherpethic neuralgia, deafferentation pain, and atypical pain) are discussed. Throughout these articles, the main clinical characteristics of the different orofacial pain conditions have been presented. Those characteristics are used to make a systematic comparison with the clinical finding of the patient, which will provide the basis to establish the correct diferential diagnosis. Therefore, independent of knowing the treatment, the clinician should be familiar with as many clinical charateristics of the different orofacial pain conditions as posible.
2. Acosta-Ortiz R. Diagnóstico diferencial del dolor orofacial II. Asociado a desórdenes neurovasculares, vasculares y músculo-esqueléticos. Rev Fac Odontol Univ Ant; 2001; 13(1): 17-28.
3. Zakrzewska JA, Hamlyn PJ. Facial pain. In: Crombie IK; Croft PR, Linton SJ, LeResche L, Von Korff M. epidemiology of pain. Task force in epidemiology. International association for the study of pain. Seatle, IASP Press., 1999.
4. Katusic S, Beard M, Bergstralh E, Kurland LT. Incidence and clinical features of trigeminal neuralgia, Rochester, Minnesota, 1945-1984. Ann Neurol 1990; 27: 89-95.
5. Rothman KJ, Monson RR. Epidemiology of trigeminal neuralgia. J Chronic Dis 1973, 26: 3-12.
6. Brisman R. Bilateral trigeminal neuralgia. J Neurosurg 1987; 67: 44-48.
7. Dalessio DJ. Diagnosis and treatment of cranial neuralgias. Med Clin North Am 1991; 75: 605-615.
8. Fromm GH. Trigeminal neuralgias and related disorders. Neurol Clin 1989; 7:305-319.
9. Graff-Radford SB. Orofacial pain: An overview of diagnosis and management. In Fricton JR; Dubner R.; Advances in pain Research and Therapy orofacial pain and temporomandibular disorders. New York: Raven Press. 1995.
10. Merril RL; Graff-Radford SB. Trigeminal Neuralgia: How to rule out the wrong treatment. J Am Dent Assoc 1992; 123: 63-68.
11. Law AS, Lilly JP. Trigeminal neuralgia mimicking odontogenic pain: a report of two cases. Oral Surg Oral Med Oral Pathol 1995, 80: 86-100.
12. Fromm GH, Graff-Radford SB, Terrence CF, Sweet WH. Pretrigeminal neuralgia. Neurology 1990; 40: 1493-1495.
13. Mitchell RG. Pretrigeminal Neuralgia. Brit Dent J 1980; 149:167-170.
14. Kennett S, Cohen L. Paroxysmal trigeminal neuralgia. A review of thirty-six cases. Oral Surg Oral Pathol Oral Med 1968; 25: 375-379.
15. Cheng TMW, Cascino TL; Onofiro BM. Comprehensive study of diagnosis and treatment of trigeminal neuralgias secundary to tumors. Neurology 1993; 43:2298-2302.
16. Terrence CF, Jensen TS. Trigeminal and other cranial neuralgias. In: Olesen J, Tfelt-Hansen P, Welch K.M.A. Ed. The headaches. Philadelphia: Lippincot Williams & Wilkins, 2000.
17. Rushton JG, Olafson RA. Trigeminal neuralgia associated with multiple sclerosis. Report of 35 cases. Arch Neurol 1965: 13: 383-386.
18. Ruge D, Brochner R; Davis L. A study of the treatment of 637 patients with trigeminal neuralgia. J Neurosurg 1958; 15: 528-536.
19. Katusic S, Williams DB, Beard CM; Bergstralh E Kurland LT. Incidence and clinical features of glosofaringeal neuralgia, Rochester, Minnesota, 1945-1984. Neuroepidemiology 1991; 10: 266-275.
20. Katusic S, Williams DB, Beard M, Bergstralh E, Kurland LT. Epidemiological and clinical features of idiopathic trigeminal neuralgia and glossopharyngeal neuralgias: similarities and differences, Rochester, Minnesota, 1945-1984. Neuroepidemiology 1991; 10: 276-281.
21. Bruyn GW. Glossopharingeal neuralgia. Cephalalgia 1983; 3:143-157.
22. Rushton JG, Stevens JC, Miller RH. Glossopharingeal (vagoglossopharyngeal) neuralgia: a study of 217 cases. Arch Neurol 1981; 38: 201-205.
23. Keith D. Differential diagnosis of craniofacial pain. Cranio Clin Inter 1991; 1:173-185.
24. Sulfaro MA, Gobeti JP. Occipital neuralgia manisfesting as orofacial pain. Oral Surg Oral Pathol Oral Med 1995; 80: 751-755.
25. Anthony M. Headache and the greater occipital nerve. Clin Neurol Neurosurg 1992; 94:297-301.
26. Dugan MC, Locke S, Gallagher JR. Occipital neuralgia in adolescents and young adults. New Engl J Med 1962; 267:1666-1172.
27. Graff-Radford SB, Jaeger B, Reeves JL. Myofascial pain may present clinically as occipital neuralgia. Neurosurg 1986; 19: 610-613.
28. Okeson JP ed. Bell's orofacial pain. Chicago: Quintessence, 1995.
29. Vinken PJ; Bruyn GW; Klawans HL. Handbook of clinical neurology Vol 4. Headache. New York: Elsevier Sciance Publishing, 1986.
30. Sluder G. Etiology, diagnosis, prognosis and treatment of sphenopalatine neuralgia. JAMA 1913; 61: 1201-1205.
31. Bruyn GW. Sphenopalatine neuralgia (Sluder). In: Vinken PJ, Bruyn GW, Klawans HL. Handbook of clinical neurology Vol 4. Headache. New York: Elsevier Sciance Publishing, 1986.
32. Ryan RE Jr, Ryan RE sr. Cluster headache. Otolaryngol Clin North Ame 1989; 22: 1131-1144.
33. Bruyn GW. Nervus intermedius neuralgia (Hunt). In: Vinken PJ; Bruyn GW; Klawans HL. Handbook of clinical neurology Vol 4. Headache. New York: Elsevier Sciance Publishing, 1986.
34. Bruyn GW. Superior laryngeal neuralgia. In: Vinken PJ, Bruyn GW; Klawans HL. Handbook of clinical neurology Vol 4. Headache. New York: Elsevier Sciance Publishing, 1986.
35. Bruyn GW. Charlin's neuralgia. In: Vinken PJ, Bruyn GW; Klawans HL. Handbook of clinical neurology Vol 4. Headache. New York: Elsevier Sciance Publishing, 1986.
36. Donoff RB, Colin W. Neurologic complications of oral and maxillofacial surgery. Oral Maxillofac Surg Clin North Am 1990; 2:453-462.
37. Campbell RL, Parks KW; Dodds N. Chronic facial pain associated with endodontic therapy. Oral Surg Oral Pathol Oral Med 1990; 69: 287-290.
38. Delcanho RE. Neuropathic implications of prosthodontics treatment. J prosthet Dent 1995; 73:146-152.
39. Bruyn GW. Stylohyoid sindrome (eagle). In Vinken PJ; Bruyn GW; Klawans HL. Handbook of clinical neurology Vol 4. Headache. New York: Elsevier Sciance Publishing, 1986.
40. Hunt WE. Tolosa-Hunt Syndrome: One cause of painful ophthalmoplegia. J Neurosurg 1976; 44:544-549.
41. Kline LB. The Tolosa-Hunt Syndrome. Survey Ophtalmol 1982; 27:79-75.
42. Fricton JR, Kroening RJ. Neuralgic disorders: Peripheral nerve pain. In: Fricton JR, Kroening, Hathaway KM. TMJ craniofacial pain: Diagnosis and management. St Louis: Ishiyaku EuroAmeric, 1988.
43. Goh CL; Khoo L. A retrospective study of the clinical presentation and outcome of of a herpez zoster in a tertiary dermatology outpatients referral clinic. Inter J Dermatol 1997; 36:667-672.
44. Gershon AA. Epidemiology and management of postherpetic neuralgia. Semin Dermatol 1996; 15 (2 suppl 1): 8-13.
45. Watson CP. Postherpethic neuralgia. Neurol Clin 1989; 7: 231-248.
46. Holland GR. Experimental trigeminal nerve injury. Crit Rev Oral Biol Med 1996; 7:237-258.
47. Simpson HE. Injuries to the inferior dental and mental nerves. J Oral Surg 1958; 16:300-305.
48. Wilbourn AJ. Iatrogenic nerve injuries. Neurol Clin North Am 1998;16:55.
49. Donoff RB, Colin W. Neurologic complications of oral and maxillofacial surgery. Oral Maxillofac Surg North Am 1990; 2: 453-462.
50. Gregg JM. Studies of traumatic neuralgias in the maxillofacial region: Surgical pathology and neural mechanisms. J Oral Maxillofac Surg 1990; 48:228-237.
51. Staton-Hicks M; Jänig W, Hassenbusch S, Haddox JD, Boas R, Wilson P. Reflex sympathetic distrophy: Changing concepts and taxonomy. Pain 1995; 63:127-133.
52. Lynch ME; Elgeneidy AK. The role of sympathetic activity in neuropathic orofacial pain. J Orofac Pain 1996; 10:297-305.
53. Gregg JM. Studies of traumatic neuralgias in the maxillofacial region: symptom complexes and response to microsurgery. J Oral Maxillofac Surg 1990; 48:135-140.
54. Rasmussen OC. Painful traumatic neuromas in the oral cavity. Oral Surg Oral Pathol Oral Med 1980; 49: 191-195.
55. Mathews GJ, Osterholm JL. Painful traumatic neuromas. Surg Clin North Am 1972; 51: 1313-1324.
56. Solomon S, Lipton RB. Atypical facial pain: a review. Semin Neurol 1988; 8:332-338.
57. Speculand B. Goss AN; Hallett E; Spence ND. Intractable facial pain. Brit J Oral Surg 1979-80,17:166-178.
58. McElin TW, Hoton BY. Atypical face pain; a statistical consideration of 66 cases. Ann Inter Med 1947; 27: 749-768.
59. Blassberg B, Remick RA, Conklin R; Keller FD. Atypical facial pain in ederly. Gerodontology 1984; 3: 77-81.
60. Woda A, Pionchon P. Focus Article: A unified concept of idiopathic orofacial pain: clinical features. J Orofac Pain 1999; 13: 172-184.
61. Woda A, Pionchon P. Topical Review: A unified concept of idiopathic orofacial pain: pathophysiologic features. J Orofacial Pain 2000; 14: 196-212.
62. Remick RA, Blassberg B, Campos PE, Miles JE. Psychiatric disorders associated with atypical facial pain. Can J Psychiatry 1983; 28:178-181.
63. Weddington WW; Blazer D. Atipical facial pain and trigeminal neuralgia: A comparison Study. Psychosomatics 1979; 20:348-356.
64. Graff-Radford SB; Solberg WK. Is atypical odontalgia a psychological problem? Oral Surg Oral Pathol Oral Med 1993; 75: 579-582.
65. Marbach JJ. Orofacial phantom pain: theory and phenomenology. J Am Dent Assoc 1996; 127: 221-229.
66. Bates RE; Stewart CM. Atypical odontalgia: Phantom tooth pain. Oral Surg Oral Pathol Oral Med 1991; 72: 479-483.
67. Marbach JJ. Hulbrock J, Honn C, Segal AG. Incidence of phantom tooth pain: an atypical facial neuralgia. Oral Surg Oral Pathol Oral Med 1982; 53: 190-193.
68. Brooke RL. Atypical odontalgia. A report of twenty-two cases. Oral Surg Oral Pathol Oral Med 1980; 49: 196-199.
69. Vickers ER, Cousins MJ, Walker S, Chisholm K. Analysis of 50 patients with atypical odontalgia. A preliminary report on pharmacological procedures for diagnosis and treatment. Oral Surg Oral Pathol Oral Med 1998; 85: 24-32.
70. Graff-Radford SB, Solberg WK. Atypical odontalgia. J Craniomandib Disord Facial Oral Pain 1992; 6: 260-266.
71. Bouquot JE, Roberts AM, Person P, Christina J. NICO (neuralgia-inducing cavitational osteonecrosis): osteomyelitis in 224 jawbones samples from patients with facial neuralgia. Oral Surg Oral Pathol Oral Med 1992; 73: 307-319.
72. Bouquot JE, LaMarche MG. Ischemic osteonecrosis under fixed partial dentura pontics: radiographic and microscopic features in 38 patients with chronic facial pain. J Prosthet Dent 1999; 81: 148-58.
73. Bouquot JE, McMahon RE. Ischemic alveolar osteonecrosis in 2,023 patients with chronic facial pain. J Orofacial Pain 1997; 11: 180-88.
74. Gruppo R, Glueck CJ, McMahon RE, Buoquot J, Rabinovich BA et al. The pathophysiology of osteonecrosis of the jaw: anticardiolipin antibodies, thrombophilia, and hypofibrinolyisis. J Lab Clin Med 1996; 127: 481-8
Copyright (c) 2001 Revista Facultad de Odontología Universidad de Antioquia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright comprises moral and patrimonial rights.
1. Moral rights: are born at the moment of the creation of the work, without the need to register it. They belong to the author in a personal and unrelinquishable manner; also, they are imprescriptible, unalienable and non negotiable. Moral rights are the right to paternity of the work, the right to integrity of the work, the right to maintain the work unedited or to publish it under a pseudonym or anonymously, the right to modify the work, the right to repent and, the right to be mentioned, in accordance with the definitions established in article 40 of Intellectual property bylaws of the Universidad (RECTORAL RESOLUTION 21231 of 2005).
2. Patrimonial rights: they consist of the capacity of financially dispose and benefit from the work trough any mean. Also, the patrimonial rights are relinquishable, attachable, prescriptive, temporary and transmissible, and they are caused with the publication or divulgation of the work. To the effect of publication of articles in the journal Revista de la Facultad de Odontología, it is understood that Universidad de Antioquia is the owner of the patrimonial rights of the contents of the publication.
The content of the publications is the exclusive responsibility of the authors. Neither the printing press, nor the editors, nor the Editorial Board will be responsible for the use of the information contained in the articles.
I, we, the author(s), and through me (us), the Entity for which I, am (are) working, hereby transfer in a total and definitive manner and without any limitation, to the Revista Facultad de Odontología Universidad de Antioquia, the patrimonial rights corresponding to the article presented for physical and digital publication. I also declare that neither this article, nor part of it has been published in another journal.
Open Access Policy
The articles published in our Journal are fully open access, as we consider that providing the public with free access to research contributes to a greater global exchange of knowledge.
Creative Commons License
The Journal offers its content to third parties without any kind of economic compensation or embargo on the articles. Articles are published under the terms of a Creative Commons license, known as Attribution – NonCommercial – Share Alike (BY-NC-SA), which permits use, distribution and reproduction in any medium, provided that the original work is properly cited and that the new productions are licensed under the same conditions.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.