Lateral pterygoid muscle volume and migraine in patients with temporomandibular disorders.
- Author:
Sergio Lucio Pereira de Castro LOPES
1
;
Andre Luiz Ferreira COSTA
;
Thiago de Oliveira GAMBA
;
Isadora Luana FLORES
;
Adriana Dibo CRUZ
;
Li Li MIN
Author Information
- Publication Type:Original Article
- Keywords: Pterygoid Muscles; Temporomandibular Joint Disorders; Migraine Disorders; Magnetic Resonance Imaging
- MeSH: Humans; Hypertrophy; Jaw; Magnetic Resonance Imaging; Migraine Disorders*; Pterygoid Muscles*; Temporomandibular Joint; Temporomandibular Joint Disorders*; Volunteers
- From:Imaging Science in Dentistry 2015;45(1):1-5
- CountryRepublic of Korea
- Language:English
- Abstract: PURPOSE: Lateral pterygoid muscle (LPM) plays an important role in jaw movement and has been implicated in Temporomandibular disorders (TMDs). Migraine has been described as a common symptom in patients with TMDs and may be related to muscle hyperactivity. This study aimed to compare LPM volume in individuals with and without migraine, using segmentation of the LPM in magnetic resonance (MR) imaging of the TMJ. MATERIALS AND METHODS: Twenty patients with migraine and 20 volunteers without migraine underwent a clinical examination of the TMJ, according to the Research Diagnostic Criteria for TMDs. MR imaging was performed and the LPM was segmented using the ITK-SNAP 1.4.1 software, which calculates the volume of each segmented structure in voxels per cubic millimeter. The chi-squared test and the Fisher's exact test were used to relate the TMD variables obtained from the MR images and clinical examinations to the presence of migraine. Logistic binary regression was used to determine the importance of each factor for predicting the presence of a migraine headache. RESULTS: Patients with TMDs and migraine tended to have hypertrophy of the LPM (58.7%). In addition, abnormal mandibular movements (61.2%) and disc displacement (70.0%) were found to be the most common signs in patients with TMDs and migraine. CONCLUSION: In patients with TMDs and simultaneous migraine, the LPM tends to be hypertrophic. LPM segmentation on MR imaging may be an alternative method to study this muscle in such patients because the hypertrophic LPM is not always palpable.
