一个27岁的女人的耳朵穿孔引起的偏头痛症状:一个案例报告
1Department of Otorhinolaryngology-Head and Neck Surgery, University of Maryland Medical Center, Baltimore, MD, USA.
Case reports in neurology
|February 8, 2024
概括
耳朵穿孔,就像顶尖穿孔一样,可能会在一些人身上引发或加剧偏头痛症状. 切除穿孔可以导致症状的缓解,这表明耳孔和偏头痛之间存在联系.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 偏头痛是普遍存在的,并且具有重大社会经济影响的致残神经疾病.
- 许多患者探索替代疗法,包括针在特定的耳朵点上,以缓解偏头痛.
- 耳孔诱发或加剧偏头痛症状的可能性在现有文献中基本上没有得到解决.
研究的目的:
- 报告一例可能由耳孔诱导的偏头痛症状.
- 强调在偏头痛的差异诊断中考虑穿刺的重要性.
主要方法:
- 一个27岁的女性出现了新发作的头痛,视力障碍和恶心的案例介绍.
- 详细的患者病史,包括顶尖穿孔位置.
- 临床观察和支持性护理,随后进行穿刺切除.
主要成果:
- 患者出现了类似偏头痛的症状,包括头痛,视力障碍和恶心,在顶尖穿孔之后.
- 医疗工作没有显示出任何异常.
- 在9个月后穿孔被移除后,症状的消失发生了.
结论:
- 耳朵穿孔,特别是在像反螺旋体的下角 (烟孔穿孔) 这样的区域,可能是偏头痛症状的新触发因素.
- 潜在的机制可能涉及三角或阴道疼痛通路,这是由于大脑神经内化.
- 临床医生应该询问和检查偏头痛症状的患者的穿孔.
更多相关视频
10:27In Vivo Morphometric Analysis of Human Cranial Nerves Using Magnetic Resonance Imaging in Menière's Disease Ears and Normal Hearing Ears
Published on: February 21, 2018
10.6K
05:40Dural Stimulation and Periorbital von Frey Testing in Mice As a Preclinical Model of Headache
Published on: July 29, 2021
8.0K
相关概念视频
01:22Mitral Valve Prolapse II: Assessment and Management
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular tachycardia.
01:21Aneurysm II: Clinical Manifestations and Diagnostic Studies
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...