NEUROIMAGING OF THE STYLOHYOID AREA AS A DIAGNOSTIC TOOL IN CLINICAL PRACTICE

Аннотация

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Aim. definition of clinical and anatomical patterns in the diagnosis of painful face syndrome Material and Methods. In the neurology clinic, 20 patients of both sexes aged 35-63 years with suspicion of neuralgia of the 2nd and 3rd branches of the trigeminal nerve were examined. All patients underwent a clinical neurological and dental examination. In anamnesis, all patients had primary headaches in the form of migraine (simple form n=8) and tension headache episodic form involving pericranial muscles (n=12). Against the background of changes in the dental system (extraction, prosthetics), a change in the course of the underlying disease towards the deterioration (transformation with chronization) was detected with a decrease in the effectiveness of the usual drug therapy. With the diagnostic purpose, CT examination of the craniofacial region was carried out by patients, using the T-scan system, occlusal disorders were determined in norm and with forced compression of the jaws. Results and Discussion. In 78% of cases, the relationship between occlusive disorders and imitation of pain manifestations of a neuralgic nature was revealed. In this case, according to CT, in 5 patients, according to CT, elongation of the styloid process (SP) was revealed; 2 - anomaly of ossification with fragmentary inclusions of cartilage; in 1 patient - with pathological fracture of SP with displacement. Conclusions. Conducting CT with a diagnostic purpose in patients with persistent neuralgic pain symptoms contributes to the possible identification of the stylohyoid syndrome. With the addition of secondary HA with trigeminal neuralgia to the course of the underlying disease, it is also necessary to perform neuroimaging of the styloid subclavian area to detect this syndrome.