“侧锁型”偏头痛与三叉自主神经性头痛：临床重叠的证据

'Side locked' migraine and trigeminal autonomic cephalgias: evidence for clinical overlap.

作者信息

Kaup A O, Mathew N T, Levyman C, Kailasam J, Meadors L A, Villarreal S S

机构信息

Clinica de Cefaléias da Unidade Avançada Einstein Alphaville, Hospital Israelita Albert Einstein, São Paulo, Brazil.

出版信息

Cephalalgia. 2003 Feb;23(1):43-9. doi: 10.1046/j.1468-2982.2003.00451.x.

DOI:10.1046/j.1468-2982.2003.00451.x

PMID:12534580

Abstract

This paper will discuss evidence which supports a link between 'side locked' migraine (SLM) and the trigeminal autonomic cephalgias (TACs). Recent papers brought strictly unilateral primary headaches into focus, proposing new classification and discussing pathophysiological mechanisms. We reviewed those proposals and present evidence that SLM falls in between the well-defined TACs and side shifting migraine (SSM). It is difficult to differentiate SLM from the recently proposed headache subtype called hemicrania generis incerti (i.e. hemicrania continua unresponsive to indomethacin). We also present cases that may exemplify the considerations made in the paper.

摘要

本文将讨论支持“侧锁型”偏头痛（SLM）与三叉自主神经性头痛（TACs）之间存在关联的证据。近期的论文将严格单侧性原发性头痛作为重点，提出了新的分类并讨论了病理生理机制。我们回顾了这些提议，并提供证据表明SLM介于明确的TACs和侧移型偏头痛（SSM）之间。很难将SLM与最近提出的头痛亚型——不明原因偏侧头痛（即对吲哚美辛无反应的持续性偏侧头痛）区分开来。我们还展示了一些病例，这些病例可能例证了本文中的相关考量。