Professor of Medicine, Director of Clinical Research, Department of Internal Medicine, University of Cincinnati, Cincinnati, Ohio.
Professor of Medicine, Pediatrics and Public Health, Division of Allergy and Immunology, Department of Internal Medicine, University of South Florida Morsani College of Medicine, Tampa, Fla.
J Allergy Clin Immunol Pract. 2013 May-Jun;1(3):242-51. doi: 10.1016/j.jaip.2013.03.014. Epub 2013 Apr 29.
Headaches affect 90% of the population sometime during their life. Most are benign and fleeting, some are serious and life-threatening, and others require ongoing medical consultation and treatment. A careful history and physical is necessary to establish a differential diagnosis and to guide the choice of testing to make an accurate diagnosis. The most common types of headaches are discussed in this review. They are divided into primary and secondary headache disorders as classified by the International Headache Society. Primary headache disorders include migraine without and with aura, cluster and tension-type headaches. Secondary headaches are those that occur as a result of some other disorder and include brain tumors, rhinosinusitis, diseases of intracranial and extracranial vasculature, and temporomandibular joint disease.
头痛影响 90%的人群在其一生中的某个时间。大多数是良性和短暂的，有些是严重的和危及生命的，还有一些需要持续的医疗咨询和治疗。仔细的病史和体检是必要的，以建立鉴别诊断，并指导选择测试以做出准确的诊断。在这篇综述中讨论了最常见的头痛类型。它们根据国际头痛协会的分类分为原发性和继发性头痛障碍。原发性头痛障碍包括无先兆偏头痛和有先兆偏头痛、丛集性头痛和紧张型头痛。继发性头痛是由于其他一些疾病引起的，包括脑肿瘤、鼻窦炎、颅内和颅外血管疾病以及颞下颌关节疾病。
