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继发性头痛:最新进展。

Secondary Headache: Current Update.

机构信息

Department of Medicine, Division of Neurology, University of British Columbia, Vancouver, BC, Canada.

出版信息

Headache. 2020 Nov;60(10):2654-2664. doi: 10.1111/head.13986. Epub 2020 Oct 19.

DOI:10.1111/head.13986
PMID:33078413
Abstract

PURPOSE

The purpose of this paper is to review some of the causes of secondary headache particularly focusing on the subcategories of secondary headache in the International Classification of Headache Disorders, 3rd edition, the clinical features of these headaches, and their associated features and management.

OVERVIEW

Headache attributed to trauma or injury to the head and/or neck, headache attributed to cranial or cervical vascular disorder, headache attributed to non-vascular intracranial disorder, headache attributed to a substance or its withdrawal, headache attributed to infection, headache attributed to disorder of homeostasis, and headache or facial pain attributed to disorder of the cranium, neck, eye, ears, nose, sinuses, teeth, mouth, or other facial or cervical structure are discussed in this paper.

DISCUSSION

Headache is a common symptom of multiple medical conditions. Although a minority of headache patients have a secondary basis for their headaches, it is important to identify clinical features of secondary headache disorders including both the headache and non-headache features of the condition, diagnose the secondary etiology correctly, and treat them appropriately.

摘要

目的

本文旨在回顾一些继发性头痛的病因,特别关注国际头痛疾病分类,第 3 版中的继发性头痛亚类、这些头痛的临床特征及其相关特征和管理。

概述

本文讨论了归因于头部和/或颈部创伤或损伤的头痛、归因于颅或颈血管疾病的头痛、归因于非血管性颅内疾病的头痛、归因于物质或其戒断的头痛、归因于感染的头痛、归因于体内平衡紊乱的头痛以及归因于颅骨、颈部、眼睛、耳朵、鼻子、鼻窦、牙齿、口腔或其他面部或颈部结构的紊乱的头痛或面部疼痛。

讨论

头痛是多种疾病的常见症状。尽管少数头痛患者的头痛有继发性基础,但识别继发性头痛疾病的临床特征非常重要,包括该病症的头痛和非头痛特征,正确诊断继发性病因,并进行适当治疗。

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