Goadsby Peter J
Continuum (Minneap Minn). 2015 Aug;21(4 Headache):1032-40. doi: 10.1212/CON.0000000000000195.
The medical aphorism that common things happen commonly makes unique (and less common) migraine subtypes especially appropriate to review for the general neurologist. This article also identifies some rare headache disorders and other disturbances, and offers strategies to manage them.
This article discusses migraine with brainstem aura, which is troublesome clinically and has had a change in terminology in the International Classification of Headache Disorders, Third Edition, beta version (ICHD-3 beta), and hemiplegic migraine, which is also troublesome in practice. The rare headache disorder hypnic headache and the exploding head syndrome are also discussed. When hypnic headache is recognized, it is eminently treatable, while exploding head syndrome is a benign condition with no reported consequences.
Unique migraine subtypes, rare headache disorders, and other disturbances present to neurologists. When recognized, they can often be managed very well, which offers significant benefits to patients and practice satisfaction to neurologists.
医学格言“常见之事常发生”使得独特（且不常见）的偏头痛亚型特别适合普通神经科医生进行综述。本文还识别了一些罕见的头痛障碍及其他紊乱情况，并提供了管理它们的策略。
本文讨论了伴有脑干先兆的偏头痛，其在临床上较为棘手，且在《国际头痛疾病分类》第三版 beta 版（ICHD - 3 beta）中术语有所变化；还讨论了偏瘫性偏头痛，其在实际临床中也很棘手。此外，还探讨了罕见的头痛障碍——睡眠性头痛和爆炸头综合征。当识别出睡眠性头痛时，它是极易治疗的，而爆炸头综合征是一种良性病症，尚无不良后果的报道。
独特的偏头痛亚型、罕见的头痛障碍及其他紊乱情况会出现在神经科医生面前。一旦识别出来，它们通常能够得到很好的管理，这对患者有显著益处，也能让神经科医生在工作中获得满足感。
