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慢性偏头痛:是否需要新的分类?

Hemicrania continua: towards a new classification?

机构信息

Headache Centre, C, Mondino National Institute of Neurology Foundation, IRCCS, Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy.

出版信息

J Headache Pain. 2014 Feb 13;15(1):8. doi: 10.1186/1129-2377-15-8.

DOI:10.1186/1129-2377-15-8
PMID:24524413
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3936800/
Abstract

Hemicrania continua (HC) was described and coined in 1984 by Sjaastad and Spierings. Later cases, carrying this appellation, should conform to the original description. The proposed classification criteria (ICHD 3rd edition beta version) for HC focus e.g. on localized, autonomic and "vascular" features. Such features do, however, not belong to the core symptomatology of HC and should accordingly be removed. The genuine, original HC will then re-appear.The headache that the new criteria refer to, has in an unfair and unjustified manner been given the designation HC. A revision of the proposed criteria seems mandatory.

摘要

慢性偏头痛(HC)于 1984 年由 Sjaastad 和 Spierings 首次描述并命名。此后出现的此类病例应符合原始描述。HC 的分类标准(ICHD 第 3 版β版)侧重于局部、自主和“血管”特征。然而,这些特征不属于 HC 的核心症状学,因此应予以删除。真正的、原始的 HC 将重新出现。新标准所指的头痛,被不公平、不合理地命名为 HC。对拟议标准进行修订似乎是强制性的。

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引用本文的文献

1
Hemicrania continua: major shortcomings in the new classification.持续性偏侧头痛:新分类法中的主要缺陷。
J Headache Pain. 2014 Sep 13;15(1):61. doi: 10.1186/1129-2377-15-61.
2
Hemicrania continua--major shortcomings in the new classification or rigid thinking is death to progress.持续性偏侧头痛——新分类中的重大缺陷还是僵化思维阻碍了进展?
J Headache Pain. 2014 Aug 28;15(1):53. doi: 10.1186/1129-2377-15-53.
3
Hemicrania continua--building on experience and clinical science.慢性偏头痛——基于经验和临床科学。
J Headache Pain. 2014 Feb 13;15(1):9. doi: 10.1186/1129-2377-15-9.

本文引用的文献

1
The International Classification of Headache Disorders, 3rd edition (beta version).《国际头痛疾病分类》第三版(试用版)
Cephalalgia. 2013 Jul;33(9):629-808. doi: 10.1177/0333102413485658.
2
Diagnostic distribution of 100 unilateral, side-locked headaches consulting a specialized clinic.100 例单侧、侧锁头痛患者在专科诊所的诊断分布。
Eur Neurol. 2013;69(5):289-91. doi: 10.1159/000345707. Epub 2013 Feb 22.
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Hemicrania continua.持续性偏侧头痛
Handb Clin Neurol. 2010;97:483-7. doi: 10.1016/S0072-9752(10)97043-7.
4
Electrical stimulation in headache treatment. For separate headache(s) or for headache generally?头痛治疗中的电刺激。针对单一头痛还是一般头痛?
Funct Neurol. 2009 Jan-Mar;24(1):53-9.
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Hemicrania continua is not that rare.持续性偏头疼并非那么罕见。
Neurology. 2001 Sep 25;57(6):948-51. doi: 10.1212/wnl.57.6.948.
6
Chronic paroxysmal hemicrania and hemicrania continua. Parenteral indomethacin: the 'indotest'.慢性发作性偏侧头痛和持续性偏侧头痛。胃肠外吲哚美辛:“吲哚美辛试验”
Headache. 1998 Feb;38(2):122-8. doi: 10.1046/j.1526-4610.1998.3802122.x.
7
"Hemicrania continua": another headache absolutely responsive to indomethacin.“持续性偏侧头痛”:另一种对消炎痛绝对有效的头痛。
Cephalalgia. 1984 Mar;4(1):65-70. doi: 10.1046/j.1468-2982.1984.0401065.x.
8
Indomethacin-resistant hemicrania continua.吲哚美辛抵抗性持续性偏侧头痛
Cephalalgia. 1992 Feb;12(1):57-9. doi: 10.1046/j.1468-2982.1992.1201057.x.