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头痛疾病的影像学检查

Imaging in headache disorders.

作者信息

Ray Jason C, Hutton Elspeth J

机构信息

Department of Neurology, Alfred Hospital.

Department of Neurology, Austin Health.

出版信息

Aust Prescr. 2022 Jun;45(3):88-92. doi: 10.18773/austprescr.2022.023. Epub 2022 Jun 1.

DOI:10.18773/austprescr.2022.023
PMID:35755987
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9218397/
Abstract

Patients with a suspected change in intracranial pressure or a trigeminal autonomic cephalgia require MRI. The need for investigation for other headache disorders is guided by the clinical evaluation of the patient. Particular care should be taken to identify any 'red flags'. Incidental findings on MRI occur in approximately 2% of patients. Patients with migraine have an increased rate of white matter lesions, but these are of uncertain clinical significance.

摘要

疑似颅内压变化或患有三叉自主神经性头痛的患者需要进行磁共振成像（MRI）检查。对其他头痛疾病进行检查的必要性由对患者的临床评估来指导。应特别注意识别任何“警示信号”。MRI检查中的偶然发现约出现在2%的患者中。偏头痛患者白质病变的发生率较高，但这些病变的临床意义尚不确定。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d0a/9218397/4a6abe143ab3/austprescr-45-88-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d0a/9218397/0de421eadc14/austprescr-45-88-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d0a/9218397/ebb46660dce4/austprescr-45-88-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d0a/9218397/4a6abe143ab3/austprescr-45-88-f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d0a/9218397/0de421eadc14/austprescr-45-88-f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d0a/9218397/ebb46660dce4/austprescr-45-88-f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d0a/9218397/4a6abe143ab3/austprescr-45-88-f3.jpg

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Green Flags and headache: A concept study using the Delphi method.“红旗”与头痛：一项运用德尔菲法的概念研究。
Headache. 2021 Feb;61(2):300-309. doi: 10.1111/head.14054. Epub 2021 Jan 6.
3
Migraine remains second among the world's causes of disability, and first among young women: findings from GBD2019.偏头痛仍是全球致残原因中的第二位，在年轻女性中则位居首位：全球疾病负担研究2019的结果。
J Headache Pain. 2020 Dec 2;21(1):137. doi: 10.1186/s10194-020-01208-0.
4
Neuroimaging for Migraine: The American Headache Society Systematic Review and Evidence-Based Guideline.偏头痛的神经影像学：美国头痛学会系统评价和循证指南。
Headache. 2020 Feb;60(2):318-336. doi: 10.1111/head.13720. Epub 2019 Dec 31.
5
Medication-overuse headache.药物过量使用性头痛
Pract Neurol. 2019 Oct;19(5):399-403. doi: 10.1136/practneurol-2018-002048. Epub 2019 Jul 4.
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Systematic review and meta-analysis of MRI signs for diagnosis of idiopathic intracranial hypertension.MRI 征象对特发性颅内高压症诊断的系统评价和荟萃分析。
Eur J Radiol. 2019 Jul;116:106-115. doi: 10.1016/j.ejrad.2019.04.023. Epub 2019 May 1.
7
An Approach to Identifying Headache Patients That Require Neuroimaging.一种识别需要神经影像学检查的头痛患者的方法。
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