在偏头痛发作期间经常出现昏
Mariana Dias da Costa1, Beatriz Nunes Vicente1, Filipa Dourado Sotero2
1Service of Neurology. Department of Neurosciences and Mental Health. Hospital de Santa Maria. Unidade Local de Saúde Santa Maria. Lisbon. Portugal.
Acta medica portuguesa
|November 28, 2024
概括
偏头痛发作期间的昏迷可能表明心脏问题,而不仅仅是疼痛. 一个起器解决了在偏头痛期间间歇性心房阻塞患者的复发性昏迷.
科学领域:
- 神经学 神经学
- 心脏病学 心脏病学
背景情况:
- 偏头痛的发作包括头痛,感官不耐受,恶心/吐.
- 偏头痛期间的意识丧失通常与疼痛反射有关,但自主功能障碍和心脏问题也与此有关.
研究的目的:
- 对于在偏头痛发作期间仅在吐后出现发作的患者来说,调查昏的原因.
- 强调在偏头痛期间调查昏迷的重要性,而不仅仅是将其归因于疼痛.
主要方法:
- 一个51岁妇女的病例报告与偏头痛和吐相关的昏迷.
- 在偏头痛发作期间进行24小时的霍尔特监测,以评估心脏功能.
- 在被诊断为间歇性完整心房阻塞后植入心脏起器.
主要成果:
- 昏迷发作只与偏头痛发作期间的吐有关.
- 霍尔特监测显示,间歇性完整的心房阻塞与昏迷相吻合.
- 植入心脏起器成功地预防了进一步的同步性发作.
结论:
- 偏头痛发作期间的昏迷可能是由于心脏传导异常,如心房静脉阻塞.
- 临床怀疑和调查对于发生在偏头痛期间的昏迷至关重要,以避免误诊.
- 仅仅将昏迷归因于疼痛可能会延迟诊断和治疗潜在的心脏原因.
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