Bettucci D, Aguggia M, Bolamperti L, Riccio A, Mutani R
Department of Neurology, Novara, University of Torino, Hospital Maggiore della Carità, Italy.
Ital J Neurol Sci. 1998 Feb;19(1):20-4. doi: 10.1007/BF03028807.
We studied a group of 93 patients who had not previously suffered headache and who were consecutively admitted to the Emergency Department of the hospitals of Novara and Borgomanero, Italy because of a cranial trauma definable as minor according to the current International Headache Society (IHS) criteria. Two weeks after admission, all patients underwent a semi-structured interview which revealed that 24 (25.8%) had headache; 21 of these (22.5% of the original 93 patients) also had headache when they underwent a second interview eight weeks after the traumatic event. These 21 patients were diagnosed as having chronic post-traumatic headache associated with minor cranial trauma (5.2.2 of the IHS classification), and the prevalent clinical pattern of headache presentation was examined with the aim of attributing the fourth IHS classification code number. Eighteen of the 21 patients were found to have a tension-type pattern (5.2.2.2), and the remaining three had migraine (5.2.2.1); none had cluster headache (5.2.2.3). These data demonstrate a large prevalence of tension-type headache in patients with class 5.2.2 post-traumatic headache, and confirm the results of previously published studies that were not based on the diagnostic criteria of the current classification.
我们研究了一组93名患者，这些患者此前未曾患过头痛，因颅脑外伤而连续入住意大利诺瓦拉和博尔戈马内罗医院的急诊科，根据当前国际头痛协会（IHS）标准，该颅脑外伤可定义为轻度。入院两周后，所有患者均接受了一次半结构化访谈，结果显示24名（25.8%）患者有头痛症状；其中21名（占最初93名患者的22.5%）在创伤事件发生八周后接受第二次访谈时也有头痛症状。这21名患者被诊断为患有与轻度颅脑外伤相关的慢性创伤后头痛（IHS分类中的5.2.2），并对头痛表现的主要临床模式进行了检查，目的是确定IHS的第四个分类编码。21名患者中有18名表现为紧张型模式（5.2.2.2），其余三名表现为偏头痛（5.2.2.1）；无人患有丛集性头痛（5.2.2.3）。这些数据表明，在5.2.2类创伤后头痛患者中，紧张型头痛的患病率很高，并证实了以前发表的非基于当前分类诊断标准的研究结果。
