头痛患者自主神经功能障碍的实用方法。

A Practical Approach to Autonomic Dysfunction in Patients with Headache.

机构信息

Georgetown Headache Center, Department of Neurology, Medstar Georgetown University Hospital, 3800 Reservoir Road NW, 7PHC, Washington, DC, 20007, USA.

出版信息

Curr Neurol Neurosci Rep. 2016 May;16(5):41. doi: 10.1007/s11910-016-0641-x.

DOI:10.1007/s11910-016-0641-x

PMID:27021770

Abstract

The presence of autonomic symptoms can make the diagnosis of headache challenging. While commonly seen with the trigeminal autonomic cephalalgias, autonomic dysfunction can also be present in patients with migraine, or with a variety of secondary headaches. The pathophysiology of cranial autonomic symptoms in headache is based between the trigeminal system and the hypothalamus. This article will review the pathophysiology and presence of autonomic dysfunction in headache and will provide techniques to help in headache diagnosis in patients with autonomic dysfunction.

摘要

自主症状的存在可能使头痛的诊断具有挑战性。虽然常见于三叉自主神经性头痛，但自主功能障碍也可能存在于偏头痛患者或各种继发性头痛患者中。头痛中颅自主症状的病理生理学基于三叉神经系统和下丘脑之间。本文将回顾头痛中自主功能障碍的病理生理学和存在，并提供有助于诊断自主功能障碍患者头痛的技术。