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[从神经学角度看头痛和面部疼痛的病因及诊断]

[Etiology and diagnostics of headaches and facial pain from the neurological point of view].

作者信息

Teepker M, Schepelmann K

机构信息

Klinik für Neurologie mit Poliklinik, Universitätsklinikum Giessen und Marburg, Standort Marburg, Marburg, Germany.

出版信息

HNO. 2007 Jul;55(7):524-31. doi: 10.1007/s00106-007-1555-3.

DOI:10.1007/s00106-007-1555-3
PMID:17486307
Abstract

Headaches are one of the most frequent outpatient complaints. Patients may describe a symptom indicating an underlying disease, which can range from an ordinary indisposition to a medical emergency. Despite these secondary headaches, there exist idiopathic forms, such as migraine and tension type headaches, which represent the most common types. In order to develop a specific treatment, the diagnosis of headaches and the knowledge of their etiology are very important for physicians. While headaches remain a neurological domain, facial pain syndromes are often seen and treated in other medical fields. Here clinically important facial pain syndromes are reported from a neurological point of view.

摘要

头痛是门诊最常见的主诉之一。患者可能描述出一种表明潜在疾病的症状,其范围从普通的身体不适到医疗急症。尽管存在这些继发性头痛,但仍有特发性形式,如偏头痛和紧张型头痛,它们是最常见的类型。为了制定具体的治疗方案,头痛的诊断及其病因知识对医生来说非常重要。虽然头痛仍属于神经学范畴,但面部疼痛综合征在其他医学领域也经常可见并得到治疗。本文从神经学角度报道临床上重要的面部疼痛综合征。

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本文引用的文献

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Impairment of pain inhibition in chronic tension-type headache.慢性紧张型头痛中疼痛抑制功能受损。
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Migraine--current understanding and treatment.偏头痛——当前的认识与治疗
N Engl J Med. 2002 Jan 24;346(4):257-70. doi: 10.1056/NEJMra010917.
7
Trigeminal neuralgia: pathology and pathogenesis.三叉神经痛:病理与发病机制
Brain. 2001 Dec;124(Pt 12):2347-60. doi: 10.1093/brain/124.12.2347.
8
Magnetic resonance angiography in facial and other pain: neurovascular mechanisms of trigeminal sensation.面部及其他疼痛中的磁共振血管造影:三叉神经感觉的神经血管机制
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Prevalence and burden of migraine in the United States: data from the American Migraine Study II.美国偏头痛的患病率及负担:来自美国偏头痛研究II的数据。
Headache. 2001 Jul-Aug;41(7):646-57. doi: 10.1046/j.1526-4610.2001.041007646.x.
10
PET and MRA findings in cluster headache and MRA in experimental pain.丛集性头痛的正电子发射断层扫描(PET)和磁共振血管造影(MRA)检查结果以及实验性疼痛中的MRA检查结果
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