Holdaway I M, Parr C E, France J
Department of Medicine, Auckland Hospital, New Zealand.
Aust N Z J Obstet Gynaecol. 1991 May;31(2):164-5. doi: 10.1111/j.1479-828x.1991.tb01808.x.
Migraine occurring at menstruation is frequently difficult to treat. A 38-year-old woman with exceptionally severe menstrual migraine was treated by temporary ovarian suppression using Zoladex, a long acting luteinizing hormone-releasing hormone agonist. There was prompt relief of headache, and after several months of treatment the patient elected to undergo surgical oophorectomy with subsequent resolution of her migraine. A trial of reversible hypogonadism using an LHRH agonist may thus be helpful in predicting the result of surgical castration in this situation.
月经期出现的偏头痛通常难以治疗。一名38岁患有极其严重月经性偏头痛的女性,使用长效促黄体生成素释放激素激动剂诺雷德进行了暂时性卵巢抑制治疗。头痛迅速缓解,经过数月治疗后,患者选择接受手术卵巢切除术,随后偏头痛得到缓解。因此,在这种情况下,使用促黄体生成素释放激素激动剂进行可逆性性腺功能减退试验可能有助于预测手术去势的效果。