患有未破裂的内动脉瘤的患者头痛障碍的危险因素
Aureliana Toma1, Rafael De La Garza Ramos1, David J Altschul1
1Neurological Surgery, Albert Einstein College of Medicine, Bronx, USA.
Cureus
|June 2, 2023
概括
头痛常见于未破裂的内动脉瘤 (UIA) 的患者,特别是那些影响内动脉 (ICA) 和中脑动脉 (MCA) 的患者. 药物使用与UIA患者头痛增加的可能性有关.
科学领域:
- 神经学 神经学
- 血管神经学 血管神经学
- 神经外科 神经外科
背景情况:
- 头痛疾病是未破裂的内动脉瘤 (UIAs) 患者的常见并发症.
- 在UIA和头痛特征之间的关系仍然不完全理解.
- 这项研究旨在阐明UIA患者头痛的发病率,特征和风险因素.
研究的目的:
- 系统地检查UIA患者的头痛发生率.
- 为了确定特定的头痛特征和相关的风险因素.
- 为了告知UIA患者头痛的诊断和治疗策略.
主要方法:
- 对146名UIA患者的回顾性分析.
- 评估动脉瘤的位置,形态和治疗状态.
- 在一小部分患者中使用问卷评估头痛模式.
主要成果:
- 65%的UIA患者 (头痛组) 患有头痛.
- 烟草,酒精和非法药物使用与更高的头痛发病率有关 (p=0.029).
- 头痛在ICA的眼部段 (C6) 和MCA的状段 (M1) 的动脉瘤中更常见. 许多患者报告严重,频繁的头痛 (>15天/月).
结论:
- 在UIA患者中,尤其是那些患有ICA和MCA动脉瘤的患者中,头痛很普遍.
- 这些头痛往往是严重和持续的.
- 虽然动脉瘤治疗降低了破裂风险,但其在缓解头痛方面的有效性需要进一步研究.
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