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偏头痛中的自主神经失衡。动态电视瞳孔测量评估。

Vegetative imbalance in migraine. A dynamic TV pupillometric evaluation.

作者信息

Micieli G, Tassorelli C, Magri M, Sandrini G, Cavallini A, Nappi G

机构信息

Third Department of Neurology, C. Mondino Foundation, University of Pavia, Italy.

出版信息

Funct Neurol. 1989 Jan-Mar;4(1):105-11.

PMID:2737489
Abstract

In this study we investigated the variations of pupillary diameter obtained in different experimental conditions (dark/light adaptation, light reflex, sural nerve stimulation) in a group of migraine patients with unilateral location of pain in almost all the attacks and in healthy controls by means of a TV pupillometric device. The data obtained seems to document the existence in migraine of unbalanced vegetative function ascribable either to a strong sympathetic activity or to a parasympathetic deficiency. Moreover, an involvement of central integrative pathways regulating pupil functioning cannot be excluded.

摘要

在本研究中,我们通过电视瞳孔测量仪,对一组几乎在所有发作中疼痛都位于单侧的偏头痛患者及健康对照者,在不同实验条件下(暗/明适应、光反射、腓肠神经刺激)所获得的瞳孔直径变化进行了研究。所获得的数据似乎证明,偏头痛患者存在植物神经功能失衡,这可能归因于强烈的交感神经活动或副交感神经功能不足。此外,不能排除调节瞳孔功能的中枢整合通路受到影响。

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引用本文的文献

1
Sympathetic Skin Responses from the Neck Area in Patients with Unilateral Migraine.单侧偏头痛患者颈部区域的交感神经皮肤反应
Noro Psikiyatr Ars. 2015 Jun;52(2):151-156. doi: 10.5152/npa.2015.7601. Epub 2015 Jun 1.
2
Reply: Pupil area and photopigment spectral sensitivity are relevant to study of migraine photophobia.回复:瞳孔面积和光色素光谱敏感性与偏头痛畏光症的研究相关。
Brain. 2017 Jan;140(1):e3. doi: 10.1093/brain/aww275. Epub 2016 Nov 15.
3
Parasympathetic Nervous System Dysfunction, as Identified by Pupil Light Reflex, and Its Possible Connection to Hearing Impairment.
由瞳孔光反射确定的副交感神经系统功能障碍及其与听力障碍的可能联系。
PLoS One. 2016 Apr 18;11(4):e0153566. doi: 10.1371/journal.pone.0153566. eCollection 2016.
4
The autonomic nervous system and the regulation of arterial tone in migraine.自主神经系统与偏头痛中动脉张力的调节
Clin Auton Res. 1995 Oct;5(5):243-50. doi: 10.1007/BF01818887.