Purpose of Review

While traditionally encountered in ambulatory settings, bruxism occurs in patients with a variety of acute neurologic illnesses including encephalitis, intracerebral hemorrhage, traumatic brain injury, hypoxic-ischemic encephalopathy, and acute ischemic stroke. Untreated bruxism in acute neurologic illness can lead to tooth loss, difficulty in mouth care resulting in recurrent aspiration pneumonia, endotracheal tube dislodgement, and even tongue laceration or amputation. Inpatient clinicians should be aware of the etiologies and management strategies for bruxism secondary to acute neurologic illness.

Recent Findings

Management strategies for bruxism are varied and include pharmacologic and non-pharmacologic therapies in addition to onabotulinumtoxinA (BoNT-A).

Summary

Bruxism impacts patients with a variety of acute neurologic illnesses, and emerging evidence suggests successful and safe treatment strategies.

中文翻译：

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急性神经系统疾病的磨牙症

审查目的

虽然传统上在门诊环境中会遇到磨牙症，但磨牙症发生在患有各种急性神经系统疾病的患者身上，包括脑炎、脑出血、创伤性脑损伤、缺氧缺血性脑病和急性缺血性中风。急性神经系统疾病中的磨牙症未经治疗会导致牙齿脱落、口腔护理困难导致反复吸入性肺炎、气管内导管移位，甚至舌头撕裂或截肢。住院临床医生应了解继发于急性神经系统疾病的磨牙症的病因和治疗策略。

最近的发现

磨牙症的管理策略多种多样，除了肉毒杆菌毒素 A (BoNT-A) 外，还包括药物和非药物疗法。

概括

磨牙症会影响患有各种急性神经系统疾病的患者，并且新出现的证据表明成功且安全的治疗策略。