Manelfe C
Service de Neuroradiologie, Hôpital Purpan, Toulouse, France.
Pathol Biol (Paris). 1992 Apr;40(4):338-43.
Neuroimaging studies in migraine patients are useful for three important reasons. 1) Brain imaging techniques and primarily CT-scan should be used in every patient with atypical or complicated migraine to rule out a vascular malformation or brain tumor; 2) angiography, which was extensively used in the 1960's and 1970's, discloses a number of arterial anomalies including spasm or occlusion, of unclear pathogenic significance; 3) T2-weighted magnetic resonance images in migraine often show increased signals generated by the white matter; this finding is as yet poorly understood but is undoubtedly related to factors very different from those seen in elderly patients or patients with vascular risk factors.
对偏头痛患者进行神经影像学研究有三个重要原因。1)对于每一位患有非典型或复杂性偏头痛的患者,都应使用脑成像技术,主要是CT扫描,以排除血管畸形或脑肿瘤;2)血管造影在20世纪60年代和70年代被广泛应用,它揭示了一些动脉异常,包括痉挛或闭塞,但其致病意义尚不清楚;3)偏头痛患者的T2加权磁共振图像通常显示白质产生的信号增加;这一发现目前尚未得到很好的理解,但无疑与老年患者或有血管危险因素的患者所见到的因素非常不同。