Newman L C, Herskovitz S, Lipton R B, Solomon S
Department of Neurology, Albert Einstein College of Medicine, New York.
Headache. 1992 Feb;32(2):75-6. doi: 10.1111/j.1526-4610.1992.hed3202075.x.
Paroxysmal headaches often occur in benign headache disorders such as episodic cluster headache, chronic paroxysmal hemicrania (CPH) and episodic paroxysmal hemicrania. We report 2 patients with paroxysmal headaches occurring in association with cerebrovascular disease. The first patient had paroxysmal headaches from an arteriovenous malformation which resolved following embolization. In the second patient, headache followed a cerebral infarction and responded to treatment with indomethacin. We suggest that vascular disease may cause paroxysmal headaches resembling CPH. Patients with an atypical presentation of CPH warrant a neuroimaging procedure.
阵发性头痛常发生于良性头痛疾病，如发作性丛集性头痛、慢性阵发性半侧头痛（CPH）和发作性阵发性半侧头痛。我们报告2例与脑血管疾病相关的阵发性头痛患者。首例患者因动静脉畸形出现阵发性头痛，栓塞治疗后头痛缓解。第二例患者头痛发生于脑梗死之后，对吲哚美辛治疗有效。我们认为血管疾病可能导致类似CPH的阵发性头痛。CPH表现不典型的患者需要进行神经影像学检查。
