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头皮脂肪增多症伴严重头痛：一例不寻常病例。

Adiposis dolorosa of scalp presenting with severe headache: an unusual case.

机构信息

Department of Medicine, King Edward Memorial Hospital and Seth Gordhandas Sunderdas Medical College, Parel, Mumbai, India.

出版信息

J Headache Pain. 2010 Dec;11(6):539-41. doi: 10.1007/s10194-010-0253-9. Epub 2010 Sep 2.

DOI:10.1007/s10194-010-0253-9
PMID:20811764
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3476222/
Abstract

A 46-year-old female, known case of adiposis dolorosa since adolescence, noticed painful thickening of scalp in bilateral parieto-occipital areas and vertex 1 year back. Six weeks prior to the presentation to our service, she developed severe occipital headache refractory to drug treatment. She improved after bilateral greater occipital nerve blocks. She was subjected to bilateral greater occipital chemical neurolysis which has given her complete pain relief.

摘要

一位 46 岁女性，自青春期起即为肥胖性痛性脂肪营养不良患者，1 年前双侧顶枕部及头顶出现疼痛性增厚。来我院就诊前 6 周，患者出现严重的枕部头痛，药物治疗无效。双侧枕大神经阻滞治疗后缓解。患者接受双侧枕大神经化学性神经松解术，疼痛完全缓解。

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1
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2
[Dercum's disease (adiposis dolorosa). A forgotten entity?].
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Dercum's disease (adiposis dolorosa): a review of clinical presentation and management.德库姆病（痛性肥胖症）：临床表现与治疗综述
Reumatologia. 2019;57(5):281-287. doi: 10.5114/reum.2019.89521. Epub 2019 Oct 31.
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A Case of a Cellular Neurothekeoma Presenting with Headaches and Review of the Literature.一例以头痛为表现的细胞性神经鞘瘤病例及文献复习

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Occipital nerve blocks: when and what to inject?枕神经阻滞：何时及注射何种药物？
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