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[头痛与脑血管疾病]

[Headache and cerebrovascular diseases].

作者信息

Tabeeva G R

机构信息

Sechenov First Moscow State Medical University, Moscow, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2021;121(2):114-121. doi: 10.17116/jnevro2021121021114.

Abstract

Headache is a common symptom of acute and chronic cerebrovascular diseases. Headache can be symptomatic in patients with various forms of vascular pathology of the brain but primary headaches are much more common. Secondary headaches in acute cerebrovascular accidents may be the first symptom, and in some cases, a risk factor or complication of stroke. In chronic cerebrovascular diseases, headache may be the predominant symptom in the early stages and resolve in the later stages of the disease. At the same time, the severity, nature and course of headache cannot be considered as reliable signs of cerebrovascular disease. Meanwhile, the verification of the headache form is important from the point of view of determining the priorities of diagnosis and therapy.

摘要

头痛是急慢性脑血管疾病的常见症状。头痛在患有各种形式脑血管病变的患者中可能是症状性的,但原发性头痛更为常见。急性脑血管意外中的继发性头痛可能是首发症状,在某些情况下,是中风的危险因素或并发症。在慢性脑血管疾病中,头痛可能在疾病早期是主要症状,而在疾病后期缓解。同时,头痛的严重程度、性质和病程不能被视为脑血管疾病的可靠体征。此外,从确定诊断和治疗优先级的角度来看,对头痛类型的核查很重要。

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