Chronic myalgia centrally mediated

The clinical case report of a 50-year-old patient who presented to the Diagnostic and Guidance Service for Patients with Temporomandibular Disorders, at the School of Dentistry, Federal University of Juiz de Fora, with complaint of pain in the facial muscles in a continuous, throbbing manner that was paroxysmal at times, with severe intensity and of a chronic nature. After semiological interdisciplinary examination (dental, speech and physical therapy), the diagnosis suggestive of temporomandibular disorder was reached, characterized by centrally mediated chronic myalgia, associated with articular structures, parafunctional habits, malocclusion and emotional factors. Supportive dental treatment consisted of guidance throughout treatment and use of occlusal splints. After a three-and-a-half-month period of interdisciplinary therapy the patient was discharged with an 80% improvement in pain and increase in mouth opening amplitude. Episodes of pain were related only to moments of stress. The patient was instructed about the need for orthodontic treatment and psycho therapy.

本数据集收录1例50岁患者的临床病例报告。该患者就诊于茹伊斯迪福拉联邦大学（Federal University of Juiz de Fora）牙科学院颞下颌疾病（Temporomandibular Disorders）患者诊疗与指导服务中心，主诉面部肌肉持续性搏动样疼痛，偶有阵发性加剧，疼痛程度剧烈且呈慢性病程。经跨学科症状学检查（涵盖牙科、言语治疗与物理治疗），临床提示诊断为颞下颌关节紊乱病，该疾病以中枢介导的慢性肌痛为核心特征，伴有关节结构异常、口腔副功能习惯、错𬌗畸形及情绪因素。辅助牙科治疗包括全程诊疗指导与咬合夹板（occlusal splints）的应用。经过3个半月的跨学科综合治疗后，患者出院，疼痛症状缓解80%，张口幅度显著提升，疼痛发作仅与应激时刻相关。医生已告知患者需接受正畸治疗与心理治疗。

搜集汇总

背景与挑战

背景概述

该数据集是关于一例中枢介导的慢性肌痛患者的临床病例报告，详细记录了患者的症状、诊断过程、治疗方案及治疗效果，适用于牙科和颞下颌关节紊乱研究。