Blau J N
National Hospitals for Nervous Diseases, London, UK.
J Neurol. 1991;238 Suppl 1:S6-11. doi: 10.1007/BF01642899.
Clear symptoms and signs are found in patients during severe migraine attacks. Diagnostic difficulties are encountered in eliciting this episodic clinical picture. A label of migraine, however, is only the beginning: factors that precipitate attacks, fears aroused in the migraineur and the failure, or partial efficacy, of acute and prophylactic therapy need also to be determined. If migraine is complicated by an additional headache, the analysis becomes more difficult, but the diagnosis still has to be accurate. This, however, is not always possible at the initial interview. A successful consultation should be more than just diagnostic; it is the beginning of treatment.
在严重偏头痛发作期间，患者会出现明显的症状和体征。引发这种发作性临床表现存在诊断困难。然而，偏头痛的诊断仅仅是个开始：还需要确定引发发作的因素、偏头痛患者产生的恐惧以及急性和预防性治疗的失败或部分疗效。如果偏头痛并发了额外的头痛，分析会变得更加困难，但诊断仍必须准确。然而，在初次问诊时并非总是能够做到这一点。一次成功的会诊不应仅仅停留在诊断上；它是治疗的开端。
