Davis C Thomas1, Prisly Thomas2, Anilkumar Sivan2, Priyanka Unnam3, Ahana Ajayakumar4, Sanjana Santhosh Kumar5, Priyanka Kodaganallur Pitchumani6, Mahnaz Fatahzadeh7, Nida-E-Haque Mahmud8. 1. Center for TMD and Orofacial Pain, Rutgers School of Dental Medicine, Newark, NJ, USA. davisct1@gmail.com. 2. Believers Church Medical College Hospital, Kerala, India. 3. Diagnostic Sciences, Rutgers School of Dental Medicine, Newark, NJ, USA. 4. St. Gregorious Dental Center, Kerala, India. 5. , Chennai, India. 6. The Ohio State University College of Dentistry, Columbus, OH, USA. 7. Division of Oral Medicine, Rutgers School of Dental Medicine, Newark, NJ, USA. 8. Professional Program for International Dentists, University of California Los A ngeles School of Dentistry, Los Angeles, CA, USA.
Abstract
PURPOSE OF REVIEW: Mönckeberg's medial sclerosis (MMS) is a chronic, non-inflammatory degenerative condition affecting primarily the tunica media of muscular arteries resulting in their calcification. The purpose of this comprehensive review is to describe MMS as it appears in the literature, in the context of headache and facial pain. Understanding the etiopathology, the associated conditions, and the differential diagnoses is important in managing MMS. RECENT FINDINGS: Management of MMS primarily depends upon identification of its associated conditions and their treatment. Due to the rare incidence and inadequate literature on MMS presenting with headaches, the diagnosis of the pain and the entity itself is challenging. MMS is characterized by associated systemic conditions and absence of inflammatory markers. It can mimic giant cell arteritis (GCA) and other pain entities. An interdisciplinary approach involving appropriate specialties is recommended.
PURPOSE OF REVIEW: Mönckeberg's medial sclerosis (MMS) is a chronic, non-inflammatory degenerative condition affecting primarily the tunica media of muscular arteries resulting in their calcification. The purpose of this comprehensive review is to describe MMS as it appears in the literature, in the context of headache and facial pain. Understanding the etiopathology, the associated conditions, and the differential diagnoses is important in managing MMS. RECENT FINDINGS: Management of MMS primarily depends upon identification of its associated conditions and their treatment. Due to the rare incidence and inadequate literature on MMS presenting with headaches, the diagnosis of the pain and the entity itself is challenging. MMS is characterized by associated systemic conditions and absence of inflammatory markers. It can mimic giant cell arteritis (GCA) and other pain entities. An interdisciplinary approach involving appropriate specialties is recommended.
Authors: Robert G Micheletti; Gregory A Fishbein; Judith S Currier; Elyse J Singer; Michael C Fishbein Journal: Mod Pathol Date: 2008-06-06 Impact factor: 7.842
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