导致头痛的异常性CSF动态障碍:一个叙述性回顾
Marina Romozzi1,2, Fabio Zeoli3, Federico Tosto4
1Department of Neuroscience, Università Cattolica del Sacro Cuore, Rome, Italy. marinaromozzi@gmail.com.
概括
像IIH,SIH和iNPH这样的异常脑脊液 (CSF) 疾病中的头痛表现是多样化的,并且经常错过. 在iNPH中识别异常症状和头痛对于诊断和管理至关重要.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 头痛 医学 医学 医学
背景情况:
- 大脑脊髓液 (CSF) 动态的异常变化经常导致二次头痛疾病.
- 异常性内高血压 (IIH),自发性内低血压 (SIH) 和异常性正常压力水头 (iNPH) 是常见的,但它们的头痛表现尚未完全理解.
- 在iNPH中头痛经常被忽视,尽管现实世界的证据表明它的频率.
研究的目的:
- 在IIH,SIH和iNPH中审查头痛的临床特征和病理生理学.
- 综合有关这些CSF动态疾病中头痛的管理和结果的证据.
- 为了突出非典型和重叠的头痛表现.
主要方法:
- 在多个数据库中进行全面的文献搜索.
- 代表性临床病例的审查,以说明成像和头痛特征.
- 综合现有关于管理和结果的证据.
主要成果:
- IIH头痛通常是双边的,压力/脉冲性 (偏头痛类型/紧张类型).
- 传统上,SIH表现为静止性头痛,但存在非典型形式 (非静止性,雷声,慢性每日).
- 在iNPH (沉,全骨头) 中,大约30%的患者报告了头痛;重叠的表型和药物过度使用的头痛是常见的.
结论:
- 在异常性CSF动态障碍的头痛是多样化的,经常被忽视,特别是非典型的或重叠的病例.
- 提高对异常头痛特征的认识以及iNPH中头痛的存在对于准确诊断至关重要.
- 需要进一步研究这些条件下头痛的病理生理学和管理.
关键词:
IIH IIH IIH IIH IIH IIH IIH IIH IIH IIH IIH IIH IIH IIH IIH IIH IIH IIH异形性内高血压是什么意思内低血压是什么意思在NPH中,NPH是NPH.正常压力水脑.斑点斑块的疹.脑中的伪瘤更多相关视频
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