May Arne, Jurgens Tim P
University of Hamburg, Department of Systems Neuroscience, Martinistr. 52, Hamburg, Germany.
Expert Rev Neurother. 2006 Oct;6(10):1531-43. doi: 10.1586/14737175.6.10.1531.
Following the revised International Headache Society criteria, a group of short-lasting headaches associated with autonomic symptoms, the so called trigeminal autonomic cephalgias, were newly recognized. The trigeminal autonomic cephalgias include cluster headache, paroxysmal hemicranias and a syndrome involving short-lasting unilateral neuralform cephalgias with conjunctival injection and tearing (SUNCT) syndrome. In all of these syndromes, the half-sided head pain and cranial autonomic symptoms are prominent. All of the trigeminal autonomic cephalgias differ in duration, frequency and rhythmicity of the attacks, the intensity of pain and autonomic symptoms, as well as treatment options. This review gives a brief clinical description of the headache disorders and recent pathophysiological findings, as well as an overview of the treatment of cluster headache, paroxysmal hemicranias and SUNCT syndrome.
根据修订后的国际头痛协会标准，一组与自主神经症状相关的短暂性头痛，即所谓的三叉神经自主性头痛，被新确认。三叉神经自主性头痛包括丛集性头痛、发作性偏侧头痛以及一种涉及伴有结膜充血和流泪的短暂性单侧神经痛样头痛（SUNCT）综合征。在所有这些综合征中，单侧头痛和颅部自主神经症状都很突出。所有三叉神经自主性头痛在发作的持续时间、频率和节律性、疼痛强度和自主神经症状以及治疗选择方面都有所不同。本综述简要介绍了这些头痛疾病的临床情况和近期病理生理学研究结果，以及丛集性头痛、发作性偏侧头痛和SUNCT综合征的治疗概述。
