Loder E
Faculty of Medicine, Harvard Medical School, 125 Nashua Street, Boston, MA 02114, USA.
Neurol Sci. 2005 May;26 Suppl 2:s121-4. doi: 10.1007/s10072-005-0423-8.
Menstrual migraine is not formally recognised by the International Headache Society Diagnostic Classification, but "candidate criteria" for its diagnosis have been published. Attacks of migraine occurring in a consistent relationship with menstruation can be classified as "pure" menstrual migraine if they occur at no other time of the month, and as "menstrually related" if other attacks occur throughout the month. It remains controversial whether such attacks are longer, more severe or more difficult to treat than other attacks, but this form of migraine does lend itself to pre-emptive treatment because its timing and trigger can be anticipated. This paper reviews evidence for specific acute and pre-emptive treatment strategies, including the use of hormonal supplementation, scheduled triptans and nonsteroidal anti-inflammatory drugs.
月经性偏头痛并未被国际头痛协会诊断分类正式认可，但其诊断的“候选标准”已发布。与月经有固定关联而发生的偏头痛发作，如果在一个月的其他时间不发作，可归类为“纯粹”月经性偏头痛；如果在一个月内其他时间也有发作，则归类为“与月经相关”偏头痛。这种发作是否比其他发作持续时间更长、更严重或更难治疗仍存在争议，但这种偏头痛形式确实适合进行预防性治疗，因为其发作时间和触发因素是可以预测的。本文综述了特定急性和预防性治疗策略的证据，包括激素补充、定期使用曲坦类药物和非甾体抗炎药。
