与冠状病毒疾病2019年相关的头痛
Pedro Augusto Sampaio Rocha-Filho1
1Division of Neuropsychiatry, Centro de Ciências Médicas, Universidade Federal de Pernambuco (UFPE), Recife, Brazil; Headache Clinic, Hospital Universitario Oswaldo Cruz, Universidade de Pernambuco, Recife, Brazil.
Neurologic clinics
|April 4, 2024
概括
头痛在急性COVID-19中很常见,在10-20%的患者中可能会持续存在. 持续的COVID后头痛可能由并发症引起,但治疗选择尚未在临床上进行评估.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 头痛是COVID-19急性阶段的常见症状,通常在早期出现,阴险发作,双边位置,以及中度至重度.
- COVID-19可能导致严重的并发症,如脑血管疾病,鼻炎,脑膜炎和内高血压,这可能导致急性和持续性头痛.
- 显著的少数患者 (10-20%) 经历头痛,持续超过急性感染阶段,尽管头痛通常会随着时间的推移而消失.
研究的目的:
- 总结目前对COVID-19患者头痛的理解.
- 突出COVID-19后持续性头痛的潜在原因.
- 需要注意的是,缺乏治疗COVID-19后持续性头痛的临床试验.
主要方法:
- 本摘要基于对现有文献和关于COVID-19和头痛的临床观察的审查.
- 本摘要没有进行任何特定的临床试验.
主要成果:
- 头痛影响大约50%的患者在COVID-19的急性期.
- 持续性头痛发生在10-20%的COVID-19幸存者中.
- 持续性头痛的潜在原因包括脑血管疾病,鼻炎,脑膜炎和内高血压.
结论:
- 头痛是COVID-19的一个普遍症状,显著的百分比经历了持续的症状.
- 虽然头痛通常会改善,但COVID-19的并发症可能会导致持续或严重的头痛.
- 目前缺乏基于证据的临床试验,以指导COVID-19后持续性头痛的治疗.
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