Department of Evaluation and Treatment of Pain, FHU INOVPAIN, la Timone Hospital, AP-HM, Marseille, France.
Rev Neurol (Paris). 2021 Sep;177(7):773-778. doi: 10.1016/j.neurol.2021.07.002. Epub 2021 Aug 5.
Four episodic syndromes are recognized in the current version of the International Classification of Headache Disorders (ICHD): cyclic vomiting syndrome (CVS); abdominal migraine; benign paroxysmal vertigo; benign paroxysmal torticollis. Previously called childhood periodic syndromes, they are thought to be early expressions of a migrainous spectrum. They usually occur in childhood or adolescence and some of these patients will develop migraine later in childhood or in adulthood. More rarely, some of these disorders, in particular CVS and abdominal migraine, can persist or even begin at adulthood. The concept of episodic syndromes associated with migraine in adults is relatively recent, recognized for the first time in the version III-beta of the ICHD (2013). It is important for the adult neurologist to recognize the clinical pattern of these disorders. Lack of knowledge of these disorders often leads to delayed diagnosis, and a large number of complementary tests. Treatments are often borrowed from migraine abortive and preventive treatments. This review summarizes the characteristics of episodic syndromes and is particularly focused on data in adults.
目前的《国际头痛疾病分类》（ICHD）版本中识别出了四种发作性综合征：周期性呕吐综合征（CVS）；腹型偏头痛；良性阵发性眩晕；良性阵发性斜颈。以前称为儿童周期性综合征，它们被认为是偏头痛谱的早期表现。它们通常发生在儿童期或青春期，其中一些患者以后会在儿童期或成年期发展为偏头痛。更罕见的是，其中一些疾病，特别是 CVS 和腹型偏头痛，可能持续存在甚至在成年期开始。与成人偏头痛相关的发作性综合征的概念相对较新，在 ICHD 的版本 III-beta（2013 年）中首次被识别。对于成年神经科医生来说，识别这些疾病的临床模式很重要。缺乏对这些疾病的了解通常会导致诊断延迟和大量的补充检查。治疗方法通常借鉴偏头痛发作性和预防性治疗。这篇综述总结了发作性综合征的特征，特别关注了成人的数据。
