Procacci Paolo, Zoppi Massimo, Maresca Marco, Zamponi Alfiero, Fanciullacci Marcello, Sicuteri Federigo
Istituto di Clinica Medica 1°, Servizio di Algologia, Università di Firenze, 50134 FlorenceItaly Istituto di Patologia Medica e Farmacologia Clinica, Università di Firenze, 50134 FlorenceItaly.
Pain. 1989 Sep;38(3):275-278. doi: 10.1016/0304-3959(89)90213-3.
In 27 patients with cluster headache a careful sensory examination of the entire body was performed. The exam included: the measurement of sensory thresholds with mechanical and electrical stimuli, the assessment of cutaneous and deep hyperalgesia and the ischaemic test of the upper limbs with limbs at rest. In most patients a lateralisation of the findings was observed: cutaneous and deep hyperalgesia were prevalent in the side of cluster headache attacks. The results indicate that in cluster headache, as in other pain syndromes, a lateralisation may be induced throughout the body, probably by phenomena of facilitation in the central nervous system and by activation of reflex arcs.
对27例丛集性头痛患者进行了全面细致的全身感觉检查。检查内容包括：使用机械和电刺激测量感觉阈值、评估皮肤和深部痛觉过敏以及上肢静息时的缺血试验。多数患者检查结果出现偏侧化：皮肤和深部痛觉过敏在丛集性头痛发作侧更为常见。结果表明，与其他疼痛综合征一样，丛集性头痛可能会引起全身的偏侧化，这可能是由中枢神经系统的易化现象和反射弧的激活导致的。
