SUNCT,SUNA和短暂的单边神经形头痛发作:辩论和最新情况
1Department of Neurology, Dongtan Sacred Heart Hospital, Hallym University College of Medicine, Hwaseong, South Korea.
Cephalalgia : an international journal of headache
|February 28, 2024
概括
短暂的单边神经形头痛发作 (SUNHA) 往往被误诊和治疗不足. 有效的治疗方法包括拉莫特里金和静脉注射利多卡因,对于难以治疗的病例,还有手术的选择.
科学领域:
- 神经学 神经学
- 头痛 医学 医学 医学
背景情况:
- 短暂的单边神经形头痛发作 (SUNHA) 呈现神经形疼痛和三角形自主症状的特征.
- SUNHA经常被误解,目前的治疗方法往往是无效的.
研究的目的:
- 审查不断发展的SUNHA概念.
- 为SUNHA提供当前医疗和外科治疗选择的全面概述.
主要方法:
- 对SUNHA的文献进行叙事审查.
- 对诊断标准和治疗策略的分析.
主要成果:
- 阳光影响所有性别和年龄,通常是由刺激引发的.
- 预防性治疗至关重要;拉莫特里金在三分之二的患者中是有效的.
- 静脉注射的利多卡因有助于急性恶化;托皮拉胺,牛炭胺, gabapentin 是次要的选择.
- 针对神经血管压缩的手术减压在难以治疗的病例中显示出有前途.
结论:
- 了解SUNHA的进步提高了识别能力.
- 对于这种独特的头痛障碍,可以使用增强的诊断和治疗方法.
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