垂体偏头痛:一个更新
Maria D Villar-Martinez1, Peter J Goadsby1,2
1NIHR King's Clinical Research Facility, SLaM Biomedical Research Centre and Wolfson Sensory Pain and Regeneration, Institute of Psychiatry, Psychology and Neuroscience, King's College London, UK.
Current opinion in neurology
|April 15, 2024
概括
静脉偏头痛是一种被诊断不足的疾病,影响了许多诊所. 早期诊断和针对偏头痛的治疗,包括CGRP疗法,改善了患者的治疗结果.
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:
- 静脉性偏头痛是一种低诊断的疾病,患病率很高.
- 它呈现双模式,可能与女性的荷尔蒙因素有关.
- 复杂的表型可能包括自主性,炎症性或结缔组织状况以及心理症状.
研究的目的:
- 审查前体偏头痛流行病学,临床表现,机制和治疗方面的最新发现.
- 突出前体偏头痛的诊断挑战和治疗方法.
主要方法:
- 对前置性偏头痛的最新文献进行叙述性综述.
- 对流行病学数据,临床表型和治疗策略的分析.
主要成果:
- 垂体偏头痛是常见的,并且经常被误诊,有时被误认为是功能神经系统障碍.
- 持久的姿势感知性头患者中有很大一部分患有偏头痛的表型.
- 患者对标准偏头痛预防治疗有反应,包括素基因相关 (CGRP) 途径抑制剂.
结论:
- 详细的病史对于诊断前置偏头痛至关重要.
- 偏头痛特异性治疗对于前体偏头痛是有效的,强调其偏头痛性质.
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