Aydin Özemir Zeynep, Baykan Betül
Ataşehir Memorial Hospital, Division of Neurology, Istanbul, Turkey.
Istanbul University, Istanbul Medical Faculty, Department of Neurology, Istanbul, Turkey.
Noro Psikiyatr Ars. 2013 Aug;50(Suppl 1):S21-S25. doi: 10.4274/npa.y7244. Epub 2013 Aug 1.
Recently, information about migraine which is generally characterized with attacks has gradually increased. In some patients with migraine, progression may be observed such that the frequency and time of the attacks are increased and an attack lasts for days. This condition is called chronic migraine (CM). According to the last classification, chronic migraine is defined as headache which occurs 15 days a month or more frequently at least 8 of which show the characteristic properties of migraine or response to migraine-specific treatment. The diagnostic cirteria of chronic migraine, its differences from other chronic daily headaches and the question if it is a migraine form with a high frequency which transforms from episodic migraine or a completely different pathophysiological picture are still contradictory. Clarifying these issues is possible with clinical studies as well as increasing the studies directed to investigate the pathophysiological mechanisms.
最近，关于通常以发作性为特征的偏头痛的信息逐渐增多。在一些偏头痛患者中，可能会观察到病情进展，即发作频率和时间增加，且一次发作持续数天。这种情况被称为慢性偏头痛（CM）。根据最新分类，慢性偏头痛被定义为每月发生15天或更频繁，其中至少8天表现出偏头痛的特征性表现或对偏头痛特异性治疗有反应的头痛。慢性偏头痛的诊断标准、它与其他慢性每日头痛的区别以及它是由发作性偏头痛转变而来的高频偏头痛形式还是完全不同的病理生理图景这一问题仍然存在争议。通过临床研究以及增加针对病理生理机制研究的数量来阐明这些问题是可行的。
