Zusammenfassung
Kopfschmerzen sind eine der häufigsten Störungen in Mitteleuropa. Die Klassifikation
der International Headache Society ist sehr detailliert, berücksichtigt jedoch Kopf-
und Gesichtsschmerzen im Zusammenhang mit funktionellen Störungen des Bewegungssystems
nicht ausreichend. Im vorliegenden Beitrag werden vier manualmedizinische Kopf- und
Gesichtsschmerzsyndrome vorgestellt: das orbitotemporale Syndrom (OTS), das orofaziale
Syndrom (OFS), das nasopharyngeale Syndrom (NPS) und das laryngomediastinale Syndrom
(LMS). Anhand von Leitsymptomen wird auf die Differenzialdiagnostik zur Migräne, zu
den trigeminoautonomen Kopfschmerzen und zum Spannungskopfschmerz ausführlich eingegangen.
Im Beitrag wird die Herausarbeitung spezifischer manualmedizinischer Funktionsstörungen
im Zusammenhang mit typischen Beschwerdeschilderungen von Patienten versucht, er stellt
also den Versuch einer manualmedizinischen Syndrombildung in Bezug auf die Kopf- und
Geichtsschmerzen dar.
Abstract
Headaches are one of the most frequent illnesses in Europe. In the classification
of the International Headache Society headache and prosopalgias are not, however,
taken into account sufficiently in relation to functional disturbances of the locomotor
system. In this article, four manual-medical headache and prosopalgia syndromes are
introduced: the orbitotemporal syndrome (OTS), orofacial syndrome (OFS), nasopharyngeal
syndrome (NFS) and the laryngomediastinal syndrome (LMS). Differential diagnosis to
migraine, trigeminoautonome headaches and to the tension headache is discussed in
detail. This contribution tries to work out specific manual-medical disturbances in
connection with typical pain and discomfort descriptions of patients, so represents
the attempt of a manual-medical syndrome formation with respect to headache and prosopalgia.
Schlüsselwörter
Kopfschmerz - Gesichtsschmerz - funktionelle Störungen im Bewegungssystem - Triggerpunkte
- Tenderpunkte - Manuelle Medizin - Osteopathie
Key words
headache - prosopalgia - functional disturbances of the locomotor system - trigger
points - tender points - Manual Medicine - Osteopathy
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Korrespondenzadresse
Dr. med. J.Buchmann
Klinik für Neurologie, Psychiatrie, Psychosomatik und Psychotherapie im Kindes- und
Jugendalter
Zentrum für Nervenheilkunde der Universität Rostock
Gehlsheimer Straße 20
18147 Rostock
Phone: +381/494 46 10 oder -46 11
Fax: +381/494 46 12
Email: johannes.buchmann@med.uni-rostock.de
