Evans Randolph W
1200 Binz #1370, Houston, TX 77004, USA.
Curr Pain Headache Rep. 2003 Aug;7(4):303-7. doi: 10.1007/s11916-003-0051-z.
New daily persistent headache (NDPH), which is the acute onset of headache within 3 days and is persistent for 15 days or more each month for at least 3 months, is a predominantly female heterogeneous subtype of chronic daily headache, typically with migraine features of unknown etiology. NDPH may be a presentation of other primary headaches such as new onset migraine, tension, or benign thunderclap headache. The headaches can be difficult to treat. The diagnosis is one of excluding the many secondary types or NDPH mimics, which is especially critical early in the course of the disease when a secondary etiology is more likely. NDPH mimics include postmeningitis headache, NDPH with medication rebound, neoplasms, temporal arteritis, chronic meningitis, chronic subdural hematoma, post-traumatic headaches, sphenoid sinusitis, hypertension, subarachnoid hemorrhage, low cerebrospinal fluid pressure syndrome, cervical artery dissections, pseudotumor cerebri without papilledema, and cerebral venous thrombosis.
新发性每日持续性头痛（NDPH）是指在3天内急性起病，且每月持续15天或更长时间，至少持续3个月的头痛，它是慢性每日头痛中以女性为主的异质性亚型，通常具有病因不明的偏头痛特征。NDPH可能是其他原发性头痛的表现，如新发性偏头痛、紧张性头痛或良性霹雳样头痛。这些头痛可能难以治疗。诊断需要排除许多继发性类型或NDPH模仿者，这在疾病早期尤为关键，因为此时继发性病因更有可能。NDPH模仿者包括脑膜炎后头痛、药物反弹性NDPH、肿瘤、颞动脉炎、慢性脑膜炎、慢性硬膜下血肿、创伤后头痛、蝶窦炎、高血压、蛛网膜下腔出血、低脑脊液压力综合征、颈动脉夹层、无视乳头水肿的假性脑瘤和脑静脉血栓形成。
