Weatherall Mark W
Royal Free Hospital, London NW3 2QG, UK.
Pract Neurol. 2007 Aug;7(4):212-21. doi: 10.1136/jnnp.2007.124511.
Headache is a relatively neglected neurological disorder. Indeed, many neurologists find outpatient headache management--particularly of chronic daily headache--one of the least engaging parts of their job. The neglect of headache as a research problem has been reversed by the relatively recent emergence of strong programmes in centres such as Copenhagen, London, Philadelphia, New York, Liege and Leiden. Partly as a result of this, the pejorative attitude to headache as a clinical problem is less than it was, but many neurologists are still bemused by the intrusion of headache, both at a local level when headache patients occupy scarce specialist beds, and at a global level where the World Health Organization ranks migraine in the top 20 causes of global disability. This article reviews one of the commonest headache syndromes encountered by neurologists--chronic daily headache.
头痛是一种相对被忽视的神经系统疾病。的确，许多神经科医生发现门诊头痛管理——尤其是慢性每日头痛的管理——是他们工作中最缺乏吸引力的部分之一。头痛作为一个研究问题曾被忽视，但最近在哥本哈根、伦敦、费城、纽约、列日和莱顿等中心出现了强大的研究项目，这种忽视的状况已得到扭转。部分由于这个原因，将头痛视为临床问题的轻蔑态度比过去有所减少，但许多神经科医生仍然对头痛问题的困扰感到困惑，无论是在局部层面，头痛患者占用稀缺的专科床位时，还是在全球层面，世界卫生组织将偏头痛列为全球致残的前20大原因之一时。本文综述了神经科医生遇到的最常见的头痛综合征之一——慢性每日头痛。
