经典偏头痛:视觉光环和头痛发作之间的症状
1National Hospital for Neurology and Neurosurgery, Queen Square, London, UK.
Lancet (London, England)
|August 8, 1992
概括
偏头痛无间隔,视觉光环和头痛之间的时间,通常包括情绪变化和认知障碍,而不仅仅是感觉正常. 这些症状表明大脑中存在广泛的过程,而不是局部的血管事件.
科学领域:
- 神经学 神经学
- 神经科学是一个神经科学.
- 大脑生理学 大脑生理学
背景情况:
- 经典偏头痛的特点是头痛之前的视觉光环.
- "自由间隔"是视觉光环结束和头痛开始之间的时间.
- 在这种自由间隔期间症状的性质尚未完全理解.
研究的目的:
- 调查患者在经典偏头痛中自由间隔期间的主观经验.
- 描述自由间隔的症状和持续时间.
- 探索自由间隔潜在的潜在机制.
主要方法:
- 追溯性研究涉及25名偏头痛患者,他们报告了自由间隔.
- 患者被采访,谈论他们在自由间隔期间的经历.
- 收集了有关症状类型和持续时间的数据.
主要成果:
- 在25名患者中,只有3名患者在自由间隔期间感到正常.
- 22名患者报告情绪变化,脱离,恐惧,言语/思维障碍或身体症状.
- 17名患者的间隔持续不到一个小时,5名患者的间隔为1-5小时.
结论:
- 自由间隔往往伴随着显著的神经和心理症状.
- 这些症状表明前额/皮和下丘脑的参与.
- 研究结果支持扩散的大脑过程,而不是扩散抑郁或血管机制.
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