Maheshwari P K, Pandey Anjana
Department of Medicine, S.N. Medical College & hospital, Agra, Uttar Pradesh, INDIA.
Ann Neurosci. 2012 Oct;19(4):172-6. doi: 10.5214/ans.0972.7531.190409.
Headaches presented with unusual manner like cough, exertion, and sex, poses a diagnostic challenge in the emergency room or primary care provider's office. The majority of these patients have no underlying intracranial pathologic condition and have a good prognosis. Since the pathophysiology is poorly understood, treatment choices are limited. Further research is needed to elucidate the pathophysiologic mechanisms of these uncommon headaches and to assess the cost-effectiveness of various diagnostic and follow-up strategies. This article focuses on eleven unusual headache syndromes, all of which are associated with significant morbidity and mortality.
以咳嗽、用力和性行为等异常方式出现的头痛，在急诊室或初级保健提供者办公室中构成了诊断挑战。这些患者中的大多数没有潜在的颅内病理状况，预后良好。由于对其病理生理学了解甚少，治疗选择有限。需要进一步研究以阐明这些不常见头痛的病理生理机制，并评估各种诊断和随访策略的成本效益。本文重点关注十一种不常见的头痛综合征，所有这些综合征都与显著的发病率和死亡率相关。
