二次数位头痛:它们比我们想象的更常见吗?
Antonio Sánchez-Soblechero1, Elisa Luque-Buzo1, Alberto Lozano-Ros1
1Neurology Department, University Hospital Gregorio Marañón, Madrid, Spain.
Headache
|December 3, 2024
概括
症状的型头痛 (NH) 是常见的,可能与先前的头部创伤有关. 确定病因是关键,因为针对性治疗对二次NH更有效.
科学领域:
- 神经学 神经学
- 头痛 医学 医学 医学
- 临床神经科学 临床神经科学
背景情况:
- 型头痛 (NH) 通常是主要的,但存在次要原因,呈现诊断挑战.
- 区分初级和二级NH对于有效的,有针对性的治疗策略至关重要.
- 了解NH的病因学对于患者管理至关重要.
研究的目的:
- 为了全面描述症状的型头痛 (NH).
- 为了比较症状NH与初级NH病例的特征.
- 确定区分初级和二级NH的因素.
主要方法:
- 对131名被诊断为NH的患者进行了回顾性单心研究 (2002-2022年).
- 根据国际头痛疾病分类 (ICHD-2,ICHD-3) 标准分类的NH病例.
- 根据时间关系和对治疗的反应确定了症状性NH的因果关系;病例被归类为"确定的"或"可能的".
主要成果:
- 34名患者 (25.9%) 患有症状的NH,包括创伤后,骨疾病,内瘤和血管形.
- 有症状的NH患者更有可能有先前头痛 (52.9% vs 29.9%) 和远程头部创伤 (26.5% vs 9.3%) 的病史.
- 在应用因果特异性治疗时,预防性治疗在症状性NH (72.2%vs30.3%) 中显著更有效.
结论:
- 症状性型头痛 (NH) 是一个常见的诊断.
- 以前的头痛或远程头部创伤史可能表明有症状的NH.
- 神经成像对于所有NH病例是必不可少的,因为潜在的内病理,确定原因对于有效的治疗至关重要.
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