Longoni Marco, Agostoni Elio Clemente
Department of Neurology and Stroke Unit Cesena (Forlì), Bufalini Hospital, AUSL Romagna, Cesena, Italy.
Department of Neuroscience, Neurology and Stroke Unit, ASST GOM Niguarda, Milan, Italy.
Neurol Sci. 2020 Dec;41(Suppl 2):409-416. doi: 10.1007/s10072-020-04761-3.
Headache represents the second neurological cause of emergency room admittance. The differentiation of the small number of patients with life-threatening headaches from the overwhelming majority with benign primary headaches is an important problem in the emergency department since the misdiagnosis of a secondary headache can have serious consequences, including permanent neurologic deficits and death. The presence of one or more high-risk features (red flags) in patient clinical history or neurological examination warrants an urgent diagnostic workup including blood tests, neuroradiological studies, and lumbar puncture.
头痛是急诊室收治的第二大神经系统病因。在急诊室，将少数患有危及生命头痛的患者与绝大多数患有良性原发性头痛的患者区分开来是一个重要问题，因为继发性头痛的误诊可能会产生严重后果，包括永久性神经功能缺损和死亡。患者临床病史或神经系统检查中出现一个或多个高危特征（红旗征），需要进行紧急诊断检查，包括血液检查、神经放射学检查和腰椎穿刺。
