Abend Nicholas S, Younkin Donald
Department of Neurology, The University of Pennsylvania School of Medicine, and Children's Hospital of Philadelphia, 34th Street and Civic Center Boulevard, Philadelphia, PA 19104, USA.
Curr Pain Headache Rep. 2007 Oct;11(5):401-7. doi: 10.1007/s11916-007-0224-2.
Headache may be considered primary or secondary, and secondary headaches may be caused by intracranial disorders or medical/systemic disorders. In many cases, headache may be a presenting symptom of the medical disorder, and accurate diagnosis will lead to specific treatment. In other cases, the headache may be a known complication of the disorder, but the underlying disorder must be considered in management plans. Medical causes of headache are so diverse that uniform screening tests are not useful. History and examination must guide the differential diagnosis, and management plans must be individualized.
头痛可分为原发性或继发性，继发性头痛可能由颅内疾病或内科/全身性疾病引起。在许多情况下，头痛可能是该内科疾病的首发症状，准确诊断将导向特定的治疗。在其他情况下，头痛可能是该疾病已知的并发症，但在管理计划中必须考虑潜在的疾病。头痛的医学病因非常多样，统一的筛查测试并无用处。病史和检查必须指导鉴别诊断，管理计划必须个体化。
