Tegeler C H, Bell R D
Otolaryngol Clin North Am. 1987 Feb;20(1):65-82.
Vascular headache is an extremely common disorder. Current evidence points to an underlying neurogenic etiology, and the associated vascular changes are believed to be epiphenomena. Vascular headache tends to begin at a young age, is more common in women, and is frequently associated with a positive family history. Characteristics of the headache frequently suggest the diagnosis. The history and physical examination are keys to the diagnostic evaluation. A computed tomography scan when indicated is the single test with the highest yield of information. Non-narcotic analgesics, ergot compounds, and metoclopramide are the most commonly used agents for acute attacks. Beta blockers and amitriptyline are the most widely used prophylactic medications. Nonpharmacologic measures are occasionally of great benefit.
血管性头痛是一种极为常见的病症。目前的证据表明其潜在病因是神经源性的，而相关的血管变化被认为是附带现象。血管性头痛往往在年轻时起病，在女性中更为常见，且常常有阳性家族史。头痛的特征常常有助于诊断。病史和体格检查是诊断评估的关键。在有指征时，计算机断层扫描是提供信息量最大的单一检查。非麻醉性镇痛药、麦角化合物和甲氧氯普胺是急性发作时最常用的药物。β受体阻滞剂和阿米替林是最广泛使用的预防性药物。非药物措施偶尔也有很大益处。
