Classificação Internacional das Cefaleias – 2013 – versão Beta

Eis que vejo pela página Disfunção Temporomandibulares: esclarecendo a confusão no Facebook que a revista Cephalagia acabou de publicar a versão beta da nova Classificação Internacional das Cefaleias!

Captura de Tela 2013-06-14 às 19.27.37

E quais são as novidades para nós?

1. A sofrível classificação de cefaleia secundária a Disfunção Temporomandibular sofreu mudanças importantes (item 11.7 – páginas 765-766)

11.7 Headache attributed to temporomandibular disorder (TMD)
Description:
Headache caused by a disorder involving structures in the temporomandibular region.
Diagnostic criteria:
A. Any headache fulfilling criterion C
B. Clinical and/or imaging evidence of a pathological process affecting the temporomandibular joint (TMJ), muscles of mastication and/or or associated structures
C. Evidence of causation demonstrated by at least two of the following:
1. headache has developed in temporal relation to the onset of the temporomandibular disorder
2. either or both of the following:
a) headache has significantly worsened in parallel with progression of the temporomandibular disorder
b) headache has significantly improved or resolved in parallel with improvement in
or resolution of the temporomandibular disorder
3. the headache is produced or exacerbated by active jaw movements, passive movements through the range of motion of the jaw and/or provocative manœuvres applied to  temporomandibular structures such as pressure on the TMJ and surrounding muscles of mastication

4. headache, when unilateral, is ipsilateral to the side of the temporomandibular disorder

D. Not better accounted for by another ICHD-3 diagnosis.

Sugiro que leiam os comentários localizados na página 766.

2. Nova classificação para Síndrome da Ardência Bucal (SAB)! Localizada no item 13.10, páginas 781-782. Mais uma vez enfatizando que esta ardência não é secundária a problemas locais como xerostomia, lesões orais e, sistêmicos como diabetes, Sjögren e deficiências vitamínicas.

Description:
An intraoral burning or dysaesthetic sensation, recurring daily for more than 2 hours per day over more than 3 months, without clinically evident causative lesions.

Diagnostic criteria:
A. Oral pain fulfilling criteria B and C
B. Recurring daily for >2 hours per day for >3 months
C. Pain has both of the following characteristics:
1. burning quality
2. felt superficially in the oral mucosa
D. Oral mucosa is of normal appearance and clinical examination including sensory testing is normal
E. Not better accounted for by another ICHD-3 diagnosis.

3. E por último destaco o comentário realizado abaixo do item 13.11 Dor facial persistente idiopática para Odontalgia Atípica na página 782:

The term atypical odontalgia has been applied to a continuous pain in one or more teeth or in a tooth socket after extraction, in the absence of any usual dental cause. This is thought to be a subform of 13.11 Persistent idiopathic facial pain (PIFP), although it is more localized, the mean age at onset is younger and genders are more balanced. Based on the history of trauma, atypical odontalgia may also be a subform of 13.1.2.3 Painful post-traumatic trigeminal neuropathy. These subforms, if they exist, have not been sufficiently studied to propose diagnostic criteria.

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Bom final de semana a todos!