孕妇和产后患者的急性头痛:临床综述
Tatiana Greige1, Leslie A Bilello2, Jennifer M Singleton3
1Boston Medical Center, Department of Neurology, One Boston Medical Center Pl, Boston, MA 02118, United States of America.
The American journal of emergency medicine
|July 14, 2023
概括
怀孕和产后期间的头痛很常见. 本综述涵盖了孕妇和产后头痛的原因,诊断和神经成像,强调了严重的疾病.
科学领域:
- 神经学 神经学
- 产科和妇科 产科和妇科
背景情况:
- 怀孕和产后涉及显著的生理变化,增加对头痛的脆弱性.
- 这个时期的头痛可能是由于先前存在的疾病,与怀孕有关的问题或与之无关的原因引起的.
研究的目的:
- 审查孕妇和产后患者头痛的原因.
- 讨论评估这些头痛的神经成像技术.
主要方法:
- 对孕妇和产后患者头痛诊断方法的基于证据的审查.
- 探索神经成像模式的探索.
主要成果:
- 孕妇患者面临严重原因的风险,如脑静脉血栓,后部可逆脑病综合征和中风.
- 产后头痛往往是主要的 (例如,偏头痛),但二次原因如子宫前和脑静脉血栓形成是关键的.
- 由于有限的指导方针,最佳的神经成像选择具有挑战性.
结论:
- 在孕妇和产后患者中区分初级和严重的二次头痛是一个关键的临床挑战.
- 基于证据的方法对于准确的诊断和管理至关重要.
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