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二次三角形自主头痛与洞穴鼻的参与:一个诊断挑战

Pavan Raju Kola¹, Nimisha Preman¹, Rohit Chary²

¹All India Institute of Medical Sciences, New Delhi, Delhi, India.

BMJ case reports

|September 29, 2025

概括

本案例研究详细介绍了一种罕见的慢性头痛原因:IgG4相关的疾病与多变性脑膜炎 (HPM). 早期的神经成像和血清学对于诊断这种复杂的疾病至关重要,特别是在模仿其他疾病时.

科学领域:

神经学神经学
免疫学免疫学免疫学
类风湿病学类风湿病学

背景情况:

耐治疗的慢性头痛需要调查潜在的原因.
与IgG4相关的疾病 (IgG4-RD) 可以呈现出高性脑膜炎 (HPM),影响神经并模仿其他头痛疾病.
肺外结核是在流行地区的常见模仿,复杂的诊断.

研究的目的:

要突出一种罕见的慢性半脑头痛病例,由IgG4相关的过度缩性脑膜炎引起.
强调结核病等共存疾病所带来的诊断挑战.
要强调先进的诊断工具和针对IgG4相关HPM的个性化治疗的重要性.

主要方法:

详细的临床病例介绍.
复习先进的神经成像发现.
对IgG4相关疾病的血清标记分析.
考虑包括结核病在内的差异诊断.

主要成果:

一名患有慢性,耐火性半脑头痛的患者被诊断出患有IgG4相关的超性脑膜炎.
诊断被同时出现的肺外结核病所复杂化.
先进的神经成像和血清学标记是准确诊断的关键.

结论:

与IgG4相关的过敏性脑膜炎是一种罕见但重要的耐火性头痛原因.
诊断挑战需要高度的怀疑指数和全面的检查.
由于复发的可能性,个性化治疗策略和长期随访是必不可少的.

关键词:

头痛 (包括偏头痛)神经成像是一种神经成像.神经学神经学疼痛 (神经系统学)

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