Shimizu Toshihiko
Department of Neurosurgery, Tokyo Women's Medical University.
Nihon Rinsho. 2005 Oct;63(10):1832-8.
The diagnosis of headache is based on the subjective symptom, and it is generally classified into the primary headaches, which have intracranially no abnormality, and the secondary headaches, which have organic abnormality. Neuroimaging examinations, computed tomography (CT) scan, and magnetic resonance imaging (MRI) are useful for differential diagnosis and can perform to rule out vascular malformation, brain tumor, and other pathologies, and to confirm the diagnosis. There are cases of the secondary headaches resembling the primary headaches and patients complaint of pain by complex of them, in those cases, it is necessary to perform more detailed neuroimaging(three dimensional MRA, helical CT and so on). These neuroimaging could contribute to make diagnosis and treatments for the patients.
头痛的诊断基于主观症状，通常分为原发性头痛（颅内无异常）和继发性头痛（有器质性异常）。神经影像学检查，如计算机断层扫描（CT）和磁共振成像（MRI），有助于鉴别诊断，可用于排除血管畸形、脑肿瘤和其他病变，并确诊。存在继发性头痛类似原发性头痛的情况，患者会因两者的综合症状而诉说疼痛，在这些情况下，有必要进行更详细的神经影像学检查（三维MRA、螺旋CT等）。这些神经影像学检查有助于为患者进行诊断和治疗。
