Dafer Rima M, Jay Walter M
Department of Neurology, Loyola University Medical Center, Maywood, Illinois 60153, USA.
Curr Opin Ophthalmol. 2009 Nov;20(6):520-4. doi: 10.1097/ICU.0b013e328331270d.
Visual disturbances and ocular symptoms are common manifestations of two primary headache disorders, migraine and trigeminal autonomic cephalalgias, and many secondary headache disorders.
Structural lesions have been described with trigeminal autonomic cephalalgias. A systematic diagnostic evaluation including neuroimaging with assessment of intracranial and cervical vasculature, and the sellar and paranasal regions is recommended in every patient presenting with symptoms indicative of trigeminal autonomic cephalalgias for the first time.
Ophthalmologists are often the first physicians to evaluate patients presenting with headaches and ocular pain or visual symptoms. Knowledge of primary and secondary headache disorders, a detailed history, and a thorough clinical examination are prerequisites for accurate diagnosis and appropriate management.
视觉障碍和眼部症状是两种主要头痛疾病（偏头痛和三叉自主神经性头痛）以及许多继发性头痛疾病的常见表现。
已描述了三叉自主神经性头痛的结构性病变。对于首次出现三叉自主神经性头痛症状的每位患者，建议进行系统的诊断评估，包括对颅内和颈部血管以及蝶鞍和鼻旁区域进行评估的神经影像学检查。
眼科医生通常是首批评估出现头痛、眼痛或视觉症状患者的医生。了解原发性和继发性头痛疾病、详细的病史以及全面的临床检查是准确诊断和适当管理的先决条件。
