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所提出的颈源性头痛诊断标准在区分颈源性头痛和偏头痛方面是否具有特异性?

Do the proposed cervicogenic headache diagnostic criteria demonstrate specificity in terms of separating cervicogenic headache from migraine?

作者信息

Fishbain David A, Lewis John, Cole Brandly, Cutler R B, Rosomoff R Steele, Rosomoff H L

机构信息

University of Miami, Comprehensive Pain & Rehabilitation Center, 600 Alton Road, Miami Beach, FL 33139, USA.

出版信息

Curr Pain Headache Rep. 2003 Oct;7(5):387-94. doi: 10.1007/s11916-003-0039-8.

Abstract

Diagnostic criteria for cervicogenic headache (CH) have been proposed. These criteria are controversial in that they appear to overlap or include characteristics that usually are attributed to migraine headache (MH). Whether these criteria are specific enough to separate CH patients from MH patients remains to be controversial. The literature on this issue is reviewed. In addition, the authors report the results of a study attempting to build a model of variables typically associated with CH or MH, which would identify patients with CH. A significant model could not be built that did not include MH symptoms. As such, it has been concluded that it is unlikely that the criteria for CH will have the specificity required to separate CH patients from MH patients.

摘要

颈源性头痛(CH)的诊断标准已被提出。这些标准存在争议,因为它们似乎与通常归因于偏头痛(MH)的特征重叠或包含这些特征。这些标准是否足够具体以区分CH患者和MH患者仍存在争议。本文对该问题的文献进行了综述。此外,作者报告了一项研究的结果,该研究试图构建一个与CH或MH通常相关的变量模型,以识别CH患者。如果不包括MH症状,就无法构建一个有意义的模型。因此,得出的结论是,CH的诊断标准不太可能具有将CH患者与MH患者区分开来所需的特异性。

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