头痛的诊断与分类

Diagnosis and classification of headache.

作者信息

Taylor Frederick R

机构信息

Department of Neurology, University of Minnesota School of Medicine, 421 Delaware Street SE, Minneapolis, MN 55404, USA.

出版信息

Prim Care. 2004 Jun;31(2):243-59, v. doi: 10.1016/j.pop.2004.02.002.

DOI:10.1016/j.pop.2004.02.002

PMID:15172505

Abstract

Headache is the most common neurologic complaint. Migraine is by far the most frequent headache type seen by office-based physicians.Migraine remains under-recognized, under-diagnosed, and therefore under-treated in everyday medical practice. With time severely restricted in primary care day-to-day practice, a user friendly approach to assessment of headaches and differentiation into the broad types of "worrisome headache," migraine, tension-type, and others is necessary. A consensus-based, practical, rapid, six essential-question screening technique is outlined.

摘要

头痛是最常见的神经科主诉。偏头痛是门诊医生所见最为常见的头痛类型。在日常医疗实践中，偏头痛仍未得到充分认识、诊断不足，因此治疗也不充分。在初级保健日常工作时间严重受限的情况下，需要一种便于使用的方法来评估头痛并将其区分为“令人担忧的头痛”、偏头痛、紧张型头痛等广泛类型。本文概述了一种基于共识、实用、快速的六个基本问题筛查技术。