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关于二次头痛的建议一般诊断标准

Elena R Lebedeva^1,2, Jes Olesen³

¹Department of Neurology, the Ural State Medical University, Yekaterinburg, Russia.

Cephalalgia : an international journal of headache

|December 19, 2023

概括

新的头痛类型或改变了先前存在的头痛,随过渡性缺血性发作 (TIA) 或缺血性中风而发生,表明是次要的头痛. 这些发现支持对二次头痛的诊断标准的修订.

科学领域:

神经学神经学
头痛医学医学医学
脑卒中医学脑卒中医学

背景情况:

国际头痛疾病分类-3缺乏在疾病发作时区分初级和二级头痛的标准.
准确的诊断对于二次头痛的有效治疗和管理至关重要.

研究的目的:

改进二次头痛的一般诊断标准.
分析与缺血性中风和短暂缺血性发作 (TIA) 相关的头痛特征.

主要方法:

对患有缺血性中风 (n=550) 和TIA (n=120) 的患者头痛特征的回顾性分析.
患者组与对照组 (n=192) 之间的头痛特征比较.
评估头痛的强度,持续时间,频率,局部,侧面,伴随症状和治疗反应.

主要成果:

新发作的头痛发生在8.4%的缺血性中风和5%的TIA患者中,在对照中缺席.
与对照组 (1%) 相比,改变了先前存在的头痛在中风 (5.4%) 和TIA (7.5%) 患者中明显更频繁.
头痛变化和神经事件之间的紧密时间关系表明了因果关系.

结论:

在中风或TIA的时间附近出现新的或改变的头痛表明二次头痛病因.
根据观察到的数据,建议对二次性头痛进行修订的一般诊断标准.
强调在诊断脑血管事件时考虑头痛变化的重要性.

关键词:

根据国际头痛疾病分类.头痛的特征头痛的特征诊断标准诊断标准诊断标准诊断标准头痛具有改变特征的头痛一种新型的头痛.二次性头痛是第二次的头痛.

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