与性活动相关的初级头痛:文学综述
1David S and Ruth L Gottesman Center for Headache Treatment and Translational Research, Department of Neurology, Icahn School of Medicine at Mount Sinai , 5 East 98Th Street, 7Th Floor, New York, NY, 10029, USA.
Current pain and headache reports
|February 17, 2024
概括
与性活动相关的初级头痛 (PHASA) 需要彻底评估,以排除严重的原因. 治疗选择包括预防性,预防性和新兴疗法,如CGRP抑制剂.
科学领域:
- 神经学 神经学
- 头痛 医学 医学 医学
背景情况:
- 与性活动相关的初级头痛 (PHASA) 病理生理学尚未完全理解.
- 模仿PHASA的二次头痛需要紧急评估危及生命的原因.
研究的目的:
- 审查与性活动相关的原发性头痛 (PHASA) 的诊断,评估和治疗的演变.
主要方法:
- 关于PHASA最近的案例系列和研究的文献综述.
- 诊断工作的分析,包括神经成像.
- 评估当前和新兴的治疗策略.
主要成果:
- PHASA呈现为部,扩散,双边头痛,通常与偏头痛,紧张型头痛,强力头痛和高血压有关.
- 预防性治疗包括印梅他辛和三;预防性选择包括β-阻断剂,托皮拉玛酸和通道阻断剂.
- 针对CGRP的疗法显示出潜力,但缺乏PHASA疗效的随机对照试验数据.
结论:
- 紧急评估对于性活动期间的头痛至关重要,特别是雷击表现,以排除严重的次要原因.
- PHASA管理涉及预防性,预防性和潜在的新疗法的组合.
- 需要进一步的研究,包括随机对照试验,以确定新的治疗方法 (如PHASA的CGRP抑制剂) 的疗效.
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