Thomas DC, Thomas P, Sivan A, Unnam P, Ajayakumar A, Kumar SS, Pitchumani PK, Fatahzadeh M, Mahmud NEH. Monckeberg's Medial Sclerosis as a Cause for Headache and Facial Pain.
Curr Pain Headache Rep 2021;
25:50. [PMID:
34086132 DOI:
10.1007/s11916-021-00965-0]
[Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/22/2021] [Indexed: 01/02/2023]
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.
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