偏头痛
Migraine Headache
作者信息
Pescador Ruschel Marco A., De Jesus Orlando
机构信息
Medical Center Santa Rita
University of Puerto Rico, Medical Sciences Campus, Neurosurgery Section
出版信息
Migraine is a genetically influenced complex neurological disorder characterized by episodes of moderate-to-severe headaches, typically unilateral and frequently accompanied by nausea and heightened sensitivity to light and sound. The word "migraine" is derived from the Greek word , which was later converted into Latin as . The French translation of the term is . Migraine is a common cause of disability and loss of work. Migraine attacks are complex and recurrent neurological events that can unfold for hours to days and significantly impact daily activities and the quality of life of individuals. The most prevalent type of migraine, accounting for 75% of cases, is migraine without aura. Migraines can be classified into the following subtypes according to the Headache Classification Committee of the International Headache Society. : A migraine without aura: This subtype involves recurrent headache attacks lasting 4 to 72 hours. The pain is typically unilateral, pulsating in quality, moderate-to-severe in intensity, aggravated by physical activity, and associated with nausea, light (photophobia), and sound sensitivity (phonophobia). Migraine with aura: This subtype features recurrent, fully reversible attacks lasting minutes, typically presenting with 1 or more unilateral symptoms such as visual, sensory, speech and language, motor, brainstem, or retinal disturbances, usually followed by headache and other migraine symptoms. Chronic migraine: This is defined as a headache that occurs on 15 or more days in a month for more than 3 months, with migraine features present on at least 8 or more days in a month. Probable migraine: This is a symptomatic migraine attack that lacks 1 of the features required to fulfill the criteria for 1 of the above and does not meet the criteria for another type of headache. Episodic syndromes that may be associated with migraine are mentioned below. Recurrent gastrointestinal disturbances involve recurrent attacks of abdominal pain, discomfort, nausea, and vomiting that may be associated with migraines. Benign paroxysmal vertigo involves brief, recurrent attacks of vertigo. Benign paroxysmal torticollis is characterized by recurrent episodes of head tilt to 1 side. Migraines can lead to various complications, including the following: : Status migrainosus: This is a debilitating migraine attack that lasts more than 72 hours. Persistent aura without infarction: This refers to an aura that persists for more than 1 week without evidence of infarction on neuroimaging. Migrainous infarction: This refers to 1 or more aura symptoms associated with brain ischemia on neuroimaging during a typical migraine attack. Migraine aura-triggered seizure: This occurs during an attack of migraine with aura, where a seizure is triggered. .
偏头痛是一种受遗传影响的复杂神经系统疾病,其特征是发作性中度至重度头痛,通常为单侧,常伴有恶心以及对光和声音的敏感性增强。“偏头痛”一词源自希腊语 ,后来被转换成拉丁语 。该术语的法语翻译是 。偏头痛是导致残疾和工作丧失的常见原因。偏头痛发作是复杂且反复发作的神经事件,可持续数小时至数天,并对日常活动和个人生活质量产生重大影响。最常见的偏头痛类型,占病例的75%,是无先兆偏头痛。根据国际头痛协会头痛分类委员会的标准,偏头痛可分为以下亚型:无先兆偏头痛:该亚型涉及反复发作的头痛,持续4至72小时。疼痛通常为单侧,性质为搏动性,强度为中度至重度,体力活动会使其加重,并伴有恶心、畏光和畏声。有先兆偏头痛:该亚型的特点是反复发作、完全可逆的发作,持续数分钟,通常表现为1种或多种单侧症状,如视觉、感觉、言语和语言、运动、脑干或视网膜障碍,通常随后出现头痛和其他偏头痛症状。慢性偏头痛:这被定义为每月15天或更多天出现头痛,持续超过3个月,且每月至少8天或更多天具有偏头痛特征。可能的偏头痛:这是一种有症状的偏头痛发作,缺乏满足上述标准之一所需的特征,且不符合其他类型头痛的标准。下面提到可能与偏头痛相关的发作性综合征。反复发作的胃肠道紊乱包括反复发作的腹痛不适以及可能与偏头痛相关的恶心和呕吐。良性阵发性眩晕包括短暂的、反复发作的眩晕发作。良性阵发性斜颈的特征是头部反复向一侧倾斜。偏头痛可导致各种并发症,包括以下几种:偏头痛持续状态:这是一种使人衰弱的偏头痛发作,持续超过72小时。无梗死的持续性先兆:这是指在神经影像学上无梗死证据的情况下,先兆持续超过1周。偏头痛性梗死:这是指在典型偏头痛发作期间,神经影像学上与脑缺血相关的1种或多种先兆症状。偏头痛先兆诱发的癫痫发作:这发生在有先兆偏头痛发作期间,会引发癫痫发作。