伴有先兆的偏头痛或与运动相关的脑震荡：病例报告、病理生理学及多学科管理方法
Migraine with Aura or Sports-Related Concussion: Case Report, Pathophysiology, and Multidisciplinary Approach to Management.
作者信息
Ellis Michael J, Cordingley Dean, Girardin Richard, Ritchie Lesley, Johnston Janine
机构信息
1Department of Surgery, University of Manitoba, Manitoba, Canada, 2Department of Pediatrics and Child Health, University of Manitoba, Manitoba, Canada, 3Section of Neurosurgery, University of Manitoba, Manitoba, Canada, 4Pan Am Concussion Program, University of Manitoba, Manitoba, Canada, 5Children's Hospital Research Institute of Manitoba, Manitoba, Canada; 6Canada North Concussion Network, Winnipeg, Manitoba, Canada; 7Department of Clinical Health Psychology, University of Manitoba, Manitoba, Canada, 8Department of Medicine and Ophthalmology, University of Manitoba, Manitoba, Canada, 9Department of Neurology, University of Manitoba, Manitoba, Canada.
出版信息
Curr Sports Med Rep. 2017 Jan/Feb;16(1):14-18. doi: 10.1249/JSR.0000000000000323.
The evaluation and management of athletes presenting with clinical features of migraine headache with aura in the setting of sports-related head trauma is challenging. We present a case report of a 15-yr-old boy with a history of migraine with visual aura that developed acute visual disturbance and headache after a head injury during an ice hockey game. The patient underwent comprehensive assessment at a multidisciplinary concussion program, including neuro-ophthalmological examination, neurocognitive testing, and graded aerobic treadmill testing. Clinical history and multidisciplinary assessment was consistent with the diagnosis of coexisting sports-related concussion and migraine with brainstem aura. The authors discuss the pearls and pitfalls of managing patients who develop migraine headache with visual aura after sports-related head injury and the value of a comprehensive multidisciplinary approach to this unique patient population.
对在与运动相关的头部创伤背景下出现伴有先兆的偏头痛临床特征的运动员进行评估和管理具有挑战性。我们报告一例15岁男孩的病例，他有偏头痛伴视觉先兆病史，在一场冰球比赛中头部受伤后出现急性视觉障碍和头痛。该患者在一个多学科脑震荡项目中接受了全面评估，包括神经眼科检查、神经认知测试和分级有氧跑步机测试。临床病史和多学科评估与同时存在运动相关脑震荡和伴有脑干先兆的偏头痛的诊断一致。作者讨论了管理在运动相关头部损伤后出现伴有视觉先兆的偏头痛患者的要点和陷阱，以及对这一独特患者群体采用全面多学科方法的价值。
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