Nattero G, Allais G, De Lorenzo C
Dipartimento di Fisiopatologia Clinica, Università degli Studi di Torino.
Ann Ital Med Int. 1992 Jul-Sep;7(3 Suppl):38S-40S.
Migraine is the commonest form among the so-called primary headaches and the description of its clinical picture is lost in the mists of time. On the contrary, headaches of organic origin have only recently received a proper nosological individuation thanks to the modern technological progress achieved in the field of medicine. The migraine crisis, both with and without aura, is so typical in its clinical features that it does not require subtle instrumental methodologies to be diagnosed. In most cases a careful anamnesis provides all the elements necessary to formulate a precise diagnosis: the positive family history, the time and mode of onset of crises, the nature of head pain, the chronological stages are quite constant whatever the trigger factor may be. Some other considerations add further evidence to the primitivity of migraine. First of all, migraine can be relieved by quite structurally different drugs with different mechanisms of action. In addition, no significant relationship has ever been found between migraine and other pathologies.
偏头痛是所谓原发性头痛中最常见的类型，其临床表现的描述已湮没在历史的迷雾中。相反，由于医学领域取得的现代技术进步，器质性头痛直到最近才得到恰当的疾病分类识别。有无先兆的偏头痛发作在临床特征上非常典型，以至于诊断时不需要精细的仪器检查方法。在大多数情况下，详细的病史采集提供了做出准确诊断所需的所有要素：阳性家族史、发作的时间和方式、头痛的性质、无论触发因素是什么，发作的时间顺序阶段都相当恒定。其他一些因素进一步证明了偏头痛的原发性。首先，结构上截然不同、作用机制不同的药物都可以缓解偏头痛。此外，从未发现偏头痛与其他疾病之间存在显著关联。
