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Temporomandibular Joint Syndrome—A Common Cause of Headache.
Dr. Paul M. Lin and Dr. Pedro P. Polakoff, II.High incidence of patients seeking neurological evaluation for cause of headache have their difficulties originating in the temporomandibular joint dysfunction. Local pain around the temporomandibular joint and unilateral headache were found in all 24 patients in our series. Most patients have obvious occlusal defects, either congenital, surgical edentulation, or from recently applied prosthesis. Local procaine-hydrocortisone infiltration gave complete relief to 11 of these 24 patients. Four patients have partial and temporary improvement. We believe that both occlusal readjustment and the local procaine-hydrocortisone injection are important adjuncts in the therapy of temporomandibular joint dysfunction. An important facet of the therapy is the successful relief of anxiety and a better understanding of the patients' emotional background. More investigation is needed to improve our understanding and to perfect the therapy of this entity.
Shenkin HA. PHILADELPHIA NEUROLOGICAL SOCIETY. Arch Neurol. 1960;3(4):461–464. doi:10.1001/archneur.1960.00450040111015
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