偏头痛光环的变化随着患者年龄的增长而发生
Adrian Scutelnic1, Hristina Drangova2, Antonia Klein2
1Department of Neurology, Inselspital, Bern University Hospital, University of Bern, Freiburgstrasse, CH-3010, Bern, Switzerland. adrian.scutelnic@insel.ch.
The journal of headache and pain
|August 1, 2023
概括
偏头痛光环 (MA) 症状和相关的头痛特征随着年龄的增长变得不那么频繁. 这种与年龄相关的MA表现的转变可能会使老年人的诊断复杂化.
科学领域:
- 神经学 神经学
- 临床神经科学 临床神经科学
背景情况:
- 偏头痛光环 (MA) 与急性缺血性中风具有临床相似性,需要准确的诊断.
- 患者年龄的增长可能会改变MA特征,影响临床识别.
- 实验数据表明,皮质扩散抑郁症 (CSD) 的年龄相关下降,这是MA的假定机制.
研究的目的:
- 研究患者年龄对偏头痛光环 (MA) 临床特征的影响.
主要方法:
- 对343名患者进行了结构化问卷调查,以收集有关头痛和AM症状特征的数据.
- 该研究评估了患者年龄和由国际头痛疾病分类第三版 (ICHD-3) 定义的特定MA特征之间的关联.
主要成果:
- 年轻的患者更频繁地报告了逐渐扩散的光环 (>5分钟),连续的光环症状,持续的个人光环症状 (>60分钟) 和相关的头痛.
- 随着年龄的增长,MA症状的数量,包括感觉,运动和语言障碍,随着年龄的增长而减少.
- 年龄较大的患者体验到与头痛相关的光恐惧症和语音恐惧症较少.
结论:
- 典型的MA和偏头痛特征,如摄影恐惧症和语音恐惧症,在老年人中较少发生.
- 在MA呈现中观察到的与年龄相关的变化可能会对老年人群中MA的诊断构成挑战.
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