Department of Medicine, Division of Neurology, and Lyndhurst Centre, Toronto Rehabilitation Institute, University of Toronto, Toronto, Canada.
Neurology. 2011 Aug 23;77(8):792-8. doi: 10.1212/WNL.0b013e31822afff1.
The recognition and the management of headache attributed to autonomic dysreflexia after spinal cord injury (SCI) are challenging issues. Given this, I systematically reviewed the literature to establish the features of the headache attributed to autonomic dysreflexia after SCI.
This review included all articles that addressed any feature of headache attributed to autonomic dysreflexia after SCI. The literature search addressed publications from 1950 until April 2010. The literature search was conducted using MEDLINE, CINAHL, EMBASE, and PsycINFO® databases. The literature search was limited to only articles written in English.
Of the 273 publications captured in all 4 databases, 45 articles fulfilled our inclusion and exclusion criteria. Typically, the headache attributed to autonomic dysreflexia is a sudden-onset, severe headache accompanied by several signs and symptoms including increased blood pressure, altered heart rate, and diaphoresis cranial to the level of SCI, which is triggered by different noxious and nonnoxious stimuli. However, clinicians need to be aware of other headache features and the variety of potential triggers associated with the headache attributed to autonomic dysreflexia.
The greater awareness of this clinical entity among clinicians, in particular neurologists, is crucial for early recognition and proper management of episodes of autonomic dysreflexia to prevent its complications.
识别和处理脊髓损伤（SCI）后自主反射障碍性头痛是一个具有挑战性的问题。鉴于此，我们系统地回顾了文献，以确定 SCI 后自主反射障碍性头痛的特征。
本综述包括所有涉及 SCI 后自主反射障碍性头痛任何特征的文章。文献检索涵盖了从 1950 年到 2010 年 4 月的出版物。文献检索使用了 MEDLINE、CINAHL、EMBASE 和 PsycINFO®数据库。文献检索仅限于英文文章。
在所有 4 个数据库中捕获的 273 篇出版物中，有 45 篇文章符合我们的纳入和排除标准。通常，SCI 后自主反射障碍性头痛是一种突发性、剧烈头痛，伴有多种体征和症状，包括血压升高、心率改变和 SCI 以上部位出汗，由不同的有害和非有害刺激引发。然而，临床医生需要注意其他头痛特征和与自主反射障碍性头痛相关的各种潜在触发因素。
临床医生，特别是神经科医生，对这种临床实体的认识提高，对于早期识别和正确处理自主反射障碍发作以预防其并发症至关重要。
