Key result
TMJ dysfunction in Marfan syndrome presents as retro-orbital pain alongside a coincidental ophthalmic artery aneurysm.
Why the study?
Temporomandibular joint dysfunction is an under-recognised complication of Marfan syndrome presenting with headache symptoms.
Case Report (n=1)
Temporomandibular joint dysfunction is an under-recognized complication of Marfan syndrome that can present as retro-orbital pain, which must be distinguished from vascular causes.
Consider TMJ dysfunction in Marfan patients with headache; single case leaves open prevalence and management implications.
A 24-year-old Ugandan woman was referred for a neurology opinion after complaining of a year long history of right-sided retro-orbital stabbing pain. Brain imaging revealed a coincidental 3 mm left ophthalmic artery aneurysm. Marfanoid habitus was noted; after further investigations she was diagnosed with mild aortic root dilatation, subtle lens dislocation and Marfan syndrome. Her symptoms were secondary to temporomandibular joint dysfunction, an under-recognised complication of Marfan syndrome. Her ophthalmic artery aneurysm is likely to be a coincidental finding.
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Vandersteen et al. (2013) conducted a case report in Marfan syndrome (n=1). A 24-year-old woman's retro-orbital stabbing pain was secondary to temporomandibular joint dysfunction, an under-recognised complication of Marfan syndrome, with a coincidental ophthalmic artery aneurysm.
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