Department of Neurology, University of Duisburg-Essen, Hufelandstrasse 55, 45122 Essen, Germany.
Curr Pain Headache Rep. 2011 Aug;15(4):314-23. doi: 10.1007/s11916-011-0193-3.
Headache attributable to nonvascular intracranial disorder is a basket of multiple, partly complex, and very diverse idiopathic or secondary disorders. By definition, the headache has to occur in a close temporal relationship to the intracranial disorder. Some of these headache disorders are caused by high or low cerebrospinal fluid pressure; noninfectious inflammatory diseases such as neurosarcoidosis, aseptic (noninfectious) meningitis, and lymphocytic hypophysitis; or intracranial neoplasm. Other nonvascular headaches, including hemicrania epileptica and postseizure headache, Chiari malformation type I, and the syndrome of transient headache and neurological deficits with cerebrospinal fluid lymphocytosis, are attributed to hypothalamic or pituitary hyper- or hyposecretion, intrathecal injection, or epileptic seizures. The clinical presentation of all these disorders can be diverse and often mimics the characteristics of primary headaches, which may delay the diagnosis.
归因于非血管性颅内疾病的头痛是一组多种、部分复杂且非常多样化的特发性或继发性疾病。根据定义,头痛必须与颅内疾病密切相关。这些头痛疾病有些是由高或低脑脊髓液压力引起的;非传染性炎症性疾病,如神经结节病、无菌(非传染性)脑膜炎和淋巴细胞性垂体炎;或颅内肿瘤。其他非血管性头痛,包括癫痫性头痛和癫痫后头痛、Chiari 畸形 I 型和短暂性头痛及伴有脑脊液淋巴细胞增多的神经功能缺损综合征,归因于下丘脑或垂体分泌亢进或减退、椎管内注射或癫痫发作。所有这些疾病的临床表现都可能多种多样,并且常常模仿原发性头痛的特征,这可能会导致诊断延误。