Edmeads J
Postgrad Med. 1987 Jun;81(8):191-3, 196-8. doi: 10.1080/00325481.1987.11699872.
Headache is a common affliction of humanity. The physician evaluating a patient who happens to have a history of headaches may naturally consider them as part of the disease when formulating a diagnosis, thus attributing undue significance to ordinary functional headaches. This may account for the myths that unruptured aneurysms or arteriovenous malformations cause headache and that migraine can eventually lead to stroke. Sometimes, however, headaches do warn of cerebrovascular disease or occur as part of that disease. The presence of headache may aid in or hinder diagnosis. Clues that a headache may indicate cerebrovascular disease are onset after the age of 35; pain described as "the worst headache ever"; persistent localization and progressive worsening of pain; and risk factors for cerebrovascular disease, such as advancing age, hypertension, bruits, and heart disease.
头痛是人类常见的病痛。评估一位有头痛病史的患者的医生在做出诊断时，可能会自然而然地将头痛视为疾病的一部分，从而赋予普通功能性头痛不适当的重要性。这可能解释了一些误区，即未破裂的动脉瘤或动静脉畸形会导致头痛，以及偏头痛最终会导致中风。然而，有时头痛确实是脑血管疾病的警示信号或作为该疾病的一部分出现。头痛的存在可能有助于或阻碍诊断。头痛可能表明脑血管疾病的线索包括35岁以后发病；疼痛被描述为“有史以来最严重的头痛”；疼痛持续定位且逐渐加重；以及脑血管疾病的危险因素，如年龄增长、高血压、血管杂音和心脏病。
