Folia Medica Indonesiana
ISSN 0303-7932
Vol. 42 / No. 4 / Published : 2006-10
Order : 6, and page :233 - 239
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Original Article :
New paradigm in oral focal infection: periodontal disease as an etiology of migraine-anxiety related dizziness (mard)
Author :
- Haryono Utomo*1
- Markus Budi Rahadjo*2
- Dental Clinic, Airlangga University School of Dentistry
- Department of Oral Biology, Airlangga University School of Dentistry
Abstract :
Recently, two CNS disorders, migraine and anxiety, have been recognized as being commonly associated with dizziness. These associations may be an expression of an aetiological relationship, for example, dizziness caused by migraine, or dizziness caused by anxiety; alternatively, migraine or anxiety may influence the presentation of a balance disorder. For example, chronic dizziness may become more disabling during the added stress of a migraine headache or panic attack. In addition, dizziness occurs comorbidly with both migraine headache and anxiety disorders. Finally, there is increased comorbidity between anxiety and migraine. Thus, it is not surprising that some patients with dizziness may suffer from a combination of a balance disorder, migraine, and an anxiety disorder, a symptom complex was proposed to name migraine–anxiety related dizziness (MARD). There had been increasing numbers of literatures and evidence-based cases linking periodontal disease to several systemic diseases. Various mechanisms were proposed to explain the etiopathogenesis by which periodontal disease caused systemic diseases. However, systemic effects of periodontal disease that lead to several symptoms such as migraine, dizziness (vertigo) and other debilitating complaints are rarely discussed. The objective of this study is to propose the mechanism of periodontal disease involvement in the etiopathogenesis of MARD. Periodontal treatment which done to a patient suffered from symptoms mimicking MARD resulted in instant disappearing of most of the symptoms. Regarding to remarkable result, the conclusion is that periodontal disease could be a source of neurogenic and immunogenic inflammation which if not treated periodically could perpetuate symptoms mimicking MARD.
Keyword :
oral focal infection, migraine-anxiety related dizziness,
References :
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CD Balaban,(2001) Cytokine-induced sickness behavior: where do we stand? Journal of Neurology, Neurosurgery and Psychiatry : Migraine-anxiety related Dizziness (MARD): a new disorder
RG
Archive Article
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 Volume : 42 / No. : 4 / Pub. : 2006-10 |
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