Rosenberg-Nordmann M, Berthele A, Tölle T R, Sprenger T
Neurologische Klinik und Poliklinik, Technische Universität München, Klinikum rechts der Isar, Ismaninger Strasse, Munich, Germany.
Nervenarzt. 2009 Dec;80(12):1417-23. doi: 10.1007/s00115-009-2711-7.
Trigeminal autonomic cephalgias (TAC) are classified as primary headache syndromes. The use of instrumental procedures including neuroimaging in the diagnostic workup of the TACs is controversially discussed in the literature. Several case reports have been previously published, reporting trigeminal autonomic cephalgias related to structural lesions. We contribute two of our own cases of symptomatic TACs and demonstrate that a "classic" clinical presentation does not preclude a symptomatic etiology. Thus, we advocate a systematic diagnostic evaluation including neuroimaging in every patient presenting with symptoms indicative of TAC for the first time.
三叉神经自主性头痛（TAC）被归类为原发性头痛综合征。在TAC的诊断检查中使用包括神经影像学在内的仪器检查方法，在文献中存在争议。此前已发表了几篇病例报告，报道了与结构性病变相关的三叉神经自主性头痛。我们贡献了两例自己诊断的症状性TAC病例，并证明“典型”的临床表现并不排除症状性病因。因此，我们主张对每一位首次出现提示TAC症状的患者进行包括神经影像学在内的系统诊断评估。
