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Journal of Zhejiang University SCIENCE B 2009 Vol.10 No.1 P.52-56

http://doi.org/10.1631/jzus.B0820249


Abnormalities of masseter inhibitory reflex in patients with episodic tension-type headache


Author(s):  Plamen TZVETANOV, Rossen Todoroff ROUSSEFF, Zdravka RADIONOVA

Affiliation(s):  Department of Neurology and Neurosurgery; more

Corresponding email(s):   tzvetanovplamen@hotmail.com

Key Words:  Tension-type headache (TTH), Temporalis muscle exteroceptive suppression, Masseter inhibitory reflex (MIR)


Plamen TZVETANOV, Rossen Todoroff ROUSSEFF, Zdravka RADIONOVA. Abnormalities of masseter inhibitory reflex in patients with episodic tension-type headache[J]. Journal of Zhejiang University Science B, 2009, 10(1): 52-56.

@article{title="Abnormalities of masseter inhibitory reflex in patients with episodic tension-type headache",
author="Plamen TZVETANOV, Rossen Todoroff ROUSSEFF, Zdravka RADIONOVA",
journal="Journal of Zhejiang University Science B",
volume="10",
number="1",
pages="52-56",
year="2009",
publisher="Zhejiang University Press & Springer",
doi="10.1631/jzus.B0820249"
}

%0 Journal Article
%T Abnormalities of masseter inhibitory reflex in patients with episodic tension-type headache
%A Plamen TZVETANOV
%A Rossen Todoroff ROUSSEFF
%A Zdravka RADIONOVA
%J Journal of Zhejiang University SCIENCE B
%V 10
%N 1
%P 52-56
%@ 1673-1581
%D 2009
%I Zhejiang University Press & Springer
%DOI 10.1631/jzus.B0820249

TY - JOUR
T1 - Abnormalities of masseter inhibitory reflex in patients with episodic tension-type headache
A1 - Plamen TZVETANOV
A1 - Rossen Todoroff ROUSSEFF
A1 - Zdravka RADIONOVA
J0 - Journal of Zhejiang University Science B
VL - 10
IS - 1
SP - 52
EP - 56
%@ 1673-1581
Y1 - 2009
PB - Zhejiang University Press & Springer
ER -
DOI - 10.1631/jzus.B0820249


Abstract: 
Objective: To investigate the masseter inhibitory reflex (MIR) and its eventual changes in patients with episodic tension-type headache (TTH). Methods: MIR was studied in 21 patients with episodic TTH and 30 healthy subjects, with age and sex matched to the study cohort. Median age of patients was 17.0 years (ranged 16~49 years), median duration of disease 12 months (1~5 years), and median frequency of headache 7.5 d per month. Results: The second period of suppression (S2) of MIR was reduced in intensity and duration in 10% of controls and 66.7% (confidence interval (CI)=45.3%~85%; P<0.05) of patients with episodic TTH (χ2=74.9; P<0.001). In 3 (14.3%) of patients with episodic TTH, S2 was completely absent. No significant correlation between the duration of disease and headache frequency was found. Conclusion: Our results confirm the link between episodic TTH and reduction or absence of S2. Teenage patients with episodic TTH may exhibit marked pathological changes in S2 in contrast to older individuals.

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