[由于缺血性中风引起的头痛. 一个关于它的标志学和诊断的更新]
J Rodríguez-Montolio1,2, M Mateo-Polo1, E Jiménez-Jara1
1Hospital Clínico Universitario Lozano Blesa, 50009 Zaragoza, España.
Revista de neurologia
|September 5, 2023
概括
头痛是急性缺血性中风后的一个常见症状. 这项研究发现,头痛发生在超过23%的中风患者中,但目前的诊断标准往往不符合.
科学领域:
- 神经学 神经学
- 脑卒中医学 脑卒中医学
- 头痛 疾病 头痛 疾病
背景情况:
- 头痛是急性缺血性中风患者常见但经常被忽视的症状.
- 诊断方面的挑战包括对神经系统缺陷和沟通障碍的关注.
- 目前关于中风相关头痛的诊断标准可能不足.
研究的目的:
- 为了确定归因于缺血性中风的急性和持续性头痛的患病率.
- 评估这些头痛是否符合国际头痛分类 (ICHD-III) 的标准.
主要方法:
- 进行了一项前性观察分析队列研究.
- 包括244名在12个月内入院到三级护理医院中风病房的患者.
- 数据收集的重点是脑卒中后头痛的发生和特征.
主要成果:
- 在23%的急性缺血性中风患者中,头痛在发病时存在.
- 由于中风导致的持续性头痛发生在12.5%的患者中.
- 在中风发作时,只有62.5%的头痛符合ICHD-III诊断标准.
结论:
- 头痛是一种常见的缺血性中风后的症状,特别是在女性和后部循环中风患者中.
- 低NIHSS分数表明的头痛严重程度与其存在有关.
- 这项研究表明,需要审查并可能修改目前因缺血性中风引起的头痛的诊断标准.
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