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[霍顿病中的头痛:临床表现及生理病理发病机制]

[Headache in Horton's disease: the clinical picture and physiopathogenetic mechanisms].

作者信息

Carmenini G, Soldini M, Martusciello S, Bresciani E, Moretti L, Meloni F

机构信息

Istituto di I Clinica medica, Università La Sapienza, Roma.

出版信息

Recenti Prog Med. 1991 May;82(5):282-5.

PMID:1887154
Abstract

Headache is no doubt one of the most frequent symptom in Horton's disease. Nevertheless it has neither received a clear definition nor it has been studied in its pathogenetic aspects. The authors report 32 cases of Horton's disease in acute phase with arteritic localizations in different areas. Among them 24 (75%) had headache which appeared with different features from case to case. The authors identify 3 different kinds of headache, all recognizable in the secondary medical forms: epicritic headache (the most frequent), deep headache and generic headache (the rarest). The characters and the pathogenetic mechanisms of each form are also described.

摘要

头痛无疑是霍顿病最常见的症状之一。然而,它既没有得到明确的定义,也没有在其发病机制方面进行过研究。作者报告了32例急性期霍顿病患者,其动脉病变位于不同部位。其中24例(75%)有头痛症状,其表现因病例而异。作者识别出3种不同类型的头痛,均可在继发性医学形式中识别出来:精细觉头痛(最常见)、深部头痛和一般性头痛(最罕见)。还描述了每种类型头痛的特点和发病机制。

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