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与COVID-19相关的继发性刺痛性头痛:一例报告。

Secondary Stabbing Headache Associated with COVID-19: a Case Report.

作者信息

Akhlaq Hira, Li Mian, Nava Victor E

机构信息

Department of Pathology, Veterans Health Administration, Washington, DC USA.

Department of Pathology, George Washington University, Washington, DC USA.

出版信息

SN Compr Clin Med. 2022;4(1):111. doi: 10.1007/s42399-022-01194-1. Epub 2022 Jun 9.

DOI:10.1007/s42399-022-01194-1
PMID:35698479
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9178938/
Abstract

Although COVID-19 is mainly an acute viral illness, persistent symptoms are common. However, headache is not a frequent sequela of this disease. Furthermore, stabbing/ice-pick cephalalgia has been reported in < 10% of cases of COVID-19, and recurrent forms occurring after vaccination against the disease have not been published yet. We present here an unusual short-lasting unilateral stabbing/ice-pick headache with recurrent periodicity over 10 months, which may represent a sequela of COVID-19. The cephalalgia presented in a 55-year-old male with no significant medical problems approximately 4 months after the acute onset of COVID-19, and recurred twice 12 days after the second dose of COVID-19 vaccination with BNT162b2 (Pfizer). This report represents a contribution to the semiological pattern of COVID-19-related cephalea.

摘要

尽管新冠病毒病主要是一种急性病毒性疾病,但持续症状很常见。然而,头痛并非该疾病常见的后遗症。此外,据报道,在不到10%的新冠病毒病病例中出现过刺痛样/冰锥样头痛,且接种该疾病疫苗后出现的复发形式尚未见报道。我们在此报告一例不寻常的短期单侧刺痛样/冰锥样头痛,其具有10个月的复发周期,这可能是新冠病毒病的后遗症。该头痛出现在一名55岁男性身上,他没有重大健康问题,在新冠病毒病急性发作约4个月后出现,在接种第二剂BNT162b2(辉瑞)新冠疫苗12天后复发了两次。本报告为新冠病毒病相关头痛的症状学模式提供了补充。

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本文引用的文献

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Clinical characteristics of headache after vaccination against COVID-19 (coronavirus SARS-CoV-2) with the BNT162b2 mRNA vaccine: a multicentre observational cohort study.BNT162b2 mRNA疫苗接种新型冠状病毒肺炎(COVID-19,冠状病毒SARS-CoV-2)后头痛的临床特征:一项多中心观察性队列研究
Brain Commun. 2021 Jul 23;3(3):fcab169. doi: 10.1093/braincomms/fcab169. eCollection 2021.
2
Long-COVID Headache.长期新冠后遗症头痛
SN Compr Clin Med. 2021;3(8):1704-1706. doi: 10.1007/s42399-021-00964-7. Epub 2021 May 20.
3
Infection fatality rate of COVID-19 inferred from seroprevalence data.基于血清流行率数据推断的 COVID-19 感染病死率。
Bull World Health Organ. 2021 Jan 1;99(1):19-33F. doi: 10.2471/BLT.20.265892. Epub 2020 Oct 14.
4
Safety and Efficacy of the BNT162b2 mRNA Covid-19 Vaccine.BNT162b2 mRNA 新冠病毒疫苗的安全性和有效性。
N Engl J Med. 2020 Dec 31;383(27):2603-2615. doi: 10.1056/NEJMoa2034577. Epub 2020 Dec 10.
5
Spectrum of Headaches Associated With SARS-CoV-2 Infection: Study of Healthcare Professionals.与 SARS-CoV-2 感染相关的头痛谱:医护专业人员研究。
Headache. 2020 Sep;60(8):1697-1704. doi: 10.1111/head.13902. Epub 2020 Jul 15.