Solomon S
Headache Unit, Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, USA.
Headache. 1998 Nov-Dec;38(10):772-8. doi: 10.1046/j.1526-4610.1998.3810772.x.
The term posttraumatic migraine has been used in several contexts. The purpose of this discussion is to outline the different circumstances in which migraine may follow trauma. Cases from the literature and from the Headache Unit of Montefiore Medical Center are reviewed. Although trauma may be one of many triggers of migraine, trauma is sometimes the sole or predominant precipitating factor; e.g., footballer's migraine. In the posttraumatic syndrome, some exacerbations of headache upon a background of chronic daily headache often fulfill the criteria of migraine. Trauma may trigger the first attack of migraine in a susceptible individual. Biochemical and epidemiologic studies suggest that trauma may be the main etiologic factor of migraine in some cases. Migraine may also follow trauma on the basis of chance. Differentiating the different types of posttraumatic migraine has diagnostic, therapeutic, and legal implications.
创伤后偏头痛这一术语已在多种语境中使用。本讨论的目的是概述偏头痛可能继发于创伤的不同情况。回顾了文献中的病例以及蒙特菲奥里医疗中心头痛科的病例。虽然创伤可能是偏头痛的众多触发因素之一，但创伤有时是唯一或主要的诱发因素；例如，足球运动员偏头痛。在创伤后综合征中，在慢性每日头痛背景下的一些头痛加重情况往往符合偏头痛的标准。创伤可能在易感个体中引发偏头痛的首次发作。生化和流行病学研究表明，在某些情况下，创伤可能是偏头痛的主要病因。偏头痛也可能基于偶然情况继发于创伤。区分不同类型的创伤后偏头痛具有诊断、治疗和法律意义。
