Danno Daisuke, Kawabata Keita, Tachibana Hisao
Division of General Medicine, Department of Internal Medicine, Hyogo College of Medicine, Japan.
Intern Med. 2012;51(10):1195-8. doi: 10.2169/internalmedicine.51.7073. Epub 2012 May 15.
Although a lot of people have recently reported headaches provoked after watching 3-D videos, the clinical features of the so-called "3-D headache" have not been clarified. In this study, we investigated the clinical features of headaches provoked after watching 3-D videos.
We conducted a questionnaire survey by email to cases who described headaches caused by watching 3-D videos on a Weblog. We established the diagnostic criteria for 3-D headaches, which are as follows for a definite 3-D headache: A) Provoked after watching 3-D videos, but was never provoked by 2-D videos, B) Never experienced previously, C) Unclassifiable by the ICHD-II. A possible 3-D headache was one that met the criteria of A) and B) the same as above, C) Classified as a "probable" subform by the International Classification of Headache Disorders-2nd Edition (ICHD-II).
We received answers from 16 cases (5 males, 11 females, average age of 35.8 years old). Eleven of the 16 cases had experienced an entirely new type of headache after watching 3-D videos. Of these 11 cases, 5 were diagnosed as having a definite "3-D headache". The other 6 cases were diagnosed as having possible 3-D headaches. The remaining 5 of 16 cases were suspected to be attacks of primary headaches that the cases were accustomed to having experienced. The common characteristics of the 5 definite 3-D headaches were that they were bilateral and non-pulsating, and the duration was from 10 minutes to 24 hours. The intensity of the 3-D headache was as follows; severe in 2 cases, moderate in 2 cases, and mild is one case. Three of the 4 cases with moderate to severe headache had nausea.
The headaches provoked after watching 3-D videos include not only the attacks of primary headaches but also the headache attacks unclassifiable by the ICHD-II.
尽管最近有很多人报告在观看3D视频后引发头痛,但所谓“3D头痛”的临床特征尚未明确。在本研究中,我们调查了观看3D视频后引发头痛的临床特征。
我们通过电子邮件对在博客上描述因观看3D视频而引发头痛的病例进行了问卷调查。我们制定了3D头痛的诊断标准,明确的3D头痛标准如下:A)在观看3D视频后引发,但从未在观看2D视频时引发;B)以前从未经历过;C)国际头痛疾病分类第二版(ICHD-II)无法分类。可能的3D头痛是指符合上述A)和B)标准,C)根据国际头痛疾病分类第二版(ICHD-II)被归类为“可能”亚型的头痛。
我们收到了16例患者的回复(5名男性,11名女性,平均年龄35.8岁)。16例患者中有11例在观看3D视频后经历了一种全新类型的头痛。在这11例患者中,5例被诊断为明确的“3D头痛”。另外6例被诊断为可能的3D头痛。16例患者中的其余5例被怀疑是其惯常经历的原发性头痛发作。5例明确的3D头痛的共同特征是双侧性、非搏动性,持续时间为10分钟至24小时。3D头痛的强度如下:2例严重,2例中度,1例轻度。4例中度至重度头痛患者中有3例伴有恶心。
观看3D视频后引发的头痛不仅包括原发性头痛发作,还包括ICHD-II无法分类的头痛发作。