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视神经脊髓炎误诊为颈源性头痛 1 例。

A case of neuromyelitis optica misdiagnosed as cervicogenic headache.

机构信息

Department of Anesthesiology and Pain Medicine, Ajou University College of Medicine, Suwon, Korea.

出版信息

Korean J Pain. 2014 Jan;27(1):77-80. doi: 10.3344/kjp.2014.27.1.77. Epub 2013 Dec 31.

DOI:10.3344/kjp.2014.27.1.77
PMID:24478906
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3903806/
Abstract

Neuromyelitis optica (NMO) is an inflammatory demyelinating disease of the central nervous system associated with longitudinally extensive myelitis and optic neuritis. It is characterized by relapses that lead to blindness and paralysis sequelaes. But, this is rare disease; therefore high clinical suspicion for a correct diagnosis and proper examinations are not easy. However, early diagnosis is essential to prevent sequelae. We report the case of NMO with headache. A 30-year male patient who suffered headache visited our pain clinic because of aggravated pain despite treatment. The cause of the pain was revealed as NMO by more detailed previous history and examination.

摘要

视神经脊髓炎(NMO)是一种与长节段性脊髓炎和视神经炎相关的中枢神经系统炎症性脱髓鞘疾病。其特征是反复发作,导致失明和瘫痪后遗症。但是,这是一种罕见疾病;因此,对于正确诊断和适当检查的高度临床怀疑并不容易。然而,早期诊断对于预防后遗症至关重要。我们报告了一例伴有头痛的 NMO 病例。一名 30 岁男性患者因头痛就诊于我们的疼痛科,尽管经过治疗,疼痛仍加剧。通过更详细的既往病史和检查,发现疼痛的原因为 NMO。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a43/3903806/da8a905e6eb8/kjpain-27-77-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a43/3903806/a03836b3b749/kjpain-27-77-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a43/3903806/da8a905e6eb8/kjpain-27-77-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a43/3903806/a03836b3b749/kjpain-27-77-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1a43/3903806/da8a905e6eb8/kjpain-27-77-g002.jpg

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The history of neuromyelitis optica.视神经脊髓炎的历史。
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The expanded spectrum of neuromyelitis optica: evidences for a new definition.视神经脊髓炎谱系拓展:新定义的证据
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Neuropathic pain: mechanisms, therapeutic approach, and interpretation of clinical trials.神经性疼痛:机制、治疗方法及临床试验解读
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