Department of Plastic and Reconstructive Surgery, College of Medicine, Catholic University of Korea, Uijongbu St. Mary's Hospital, 65-1 Kumoh-Dong, Uijongbu 480-135, Republic of Korea.
J Plast Reconstr Aesthet Surg. 2011 Dec;64(12):1657-60. doi: 10.1016/j.bjps.2011.04.007. Epub 2011 May 11.
Recent investigation has focussed on the concept of peripherally triggered migraine headaches caused by compression, irritation or entrapment of the sensory nerves in the head and neck. We report a case of a 52-year-old male suffering from an occipitoparietal migraine that presented with a mass in the right occipital area. The mass was found in the deep layer of subcutaneous tissue just over the semispinalis muscle, sitting on top of the lesser occipital nerve, which was preserved through delicate dissection using loupe magnification. Histopathological findings of the mass reported benign, reactive hyperplasia of the lymph node. After removal of the mass, the patient reported complete resolution of headaches. Sensation of the scalp was not altered. This is the first report of a case of hyperplastic lymph node causing migraine through physical compression of a peripheral nerve.
最近的研究集中在由头部和颈部的感觉神经受压、刺激或嵌顿引起的周围触发偏头痛的概念上。我们报告了一例 52 岁男性患有枕顶偏头痛的病例，其表现为右枕部有一肿块。肿块位于皮下组织的深层，刚好在半棘肌上方，位于较小的枕神经之上，通过使用放大镜进行精细解剖保留了该神经。肿块的组织病理学报告为良性、反应性淋巴结增生。肿块切除后，患者报告头痛完全缓解。头皮感觉没有改变。这是首例通过外周神经物理压迫引起肥大性淋巴结导致偏头痛的病例报告。
