偏头痛的视觉障碍

Visual disturbances of migraine.

作者信息

Hupp S L, Kline L B, Corbett J J

机构信息

Department of Surgery, University of South Alabama College of Medicine, Mobile.

出版信息

Surv Ophthalmol. 1989 Jan-Feb;33(4):221-36. doi: 10.1016/0039-6257(82)90149-7.

DOI:10.1016/0039-6257(82)90149-7

PMID:2652358

Abstract

Migraine, a clinical syndrome of unknown etiology, is a common cause of a variety of visual disturbances. This review describes the visual alterations associated with migraine syndromes of particular interest to the ophthalmologist; acephalgic, ocular, and ophthalmoplegic. Several current theories of migraine pathophysiology are discussed. Migrainous episodes are common and must be differentiated from neurologic dysfunction due to ischemia, inflammation, seizure, and compression. The differentiating characteristics of these conditions as well as a diagnostic algorithm are presented.

摘要

偏头痛是一种病因不明的临床综合征，是导致各种视觉障碍的常见原因。本综述描述了眼科医生特别感兴趣的与偏头痛综合征相关的视觉改变；无头痛性、眼部性和眼肌麻痹性。文中讨论了当前几种偏头痛病理生理学理论。偏头痛发作很常见，必须与因缺血、炎症、癫痫和压迫引起的神经功能障碍相鉴别。本文介绍了这些病症的鉴别特征以及诊断算法。