Kolosova O A, Osipova V V
Sov Med. 1991(12):18-21.
The paper is concerned with clinical, therapeutical and classification problems of migraine. A "vegetative" form of migraine is distinguished characterized by a vegetovascular crisis in the disease episodes. Clinico-psychophysiological characteristics are provided for 30 patients with common and 40 with vegetative migraine. The latter run seems more severe with frequent episodes, permanent vegetative disorders in the episodes-free period, marked emotional symptoms (hypochondriac, demonstrative and anxious). In addition to clinico-neurological, questionnaire and thermographic methods, the study employed visual analog pain scale, tests of segmentary vegetative apparatuses (6 cardiovascular tests and time of pupil cycle), psychological tests (MIL, Spilberger's). Differential approaches to migraine forms are advocated, basic principles of optimal therapy of migraine cephalalgia are formulated.
本文关注偏头痛的临床、治疗及分类问题。区分出一种“植物神经性”偏头痛形式，其特点是在疾病发作时有植物神经血管危象。给出了30例普通偏头痛患者和40例植物神经性偏头痛患者的临床心理生理特征。后者病情似乎更严重，发作频繁，在发作间期有持续性植物神经功能紊乱，有明显的情绪症状（疑病、做作及焦虑）。除临床神经学、问卷调查和热成像方法外，该研究还采用了视觉模拟疼痛量表、节段性植物神经装置测试（6项心血管测试和瞳孔周期时间）、心理测试（MIL、斯皮尔伯格测试）。提倡对偏头痛形式采用不同的方法，阐述了偏头痛性头痛最佳治疗的基本原则。
