Gorelick P B, Hier D B, Caplan L R, Langenberg P
Neurology. 1986 Nov;36(11):1445-50. doi: 10.1212/wnl.36.11.1445.
Headache features were compared in 51 patients with acute subarachnoid hemorrhage (SAH), 61 with intraparenchymal hemorrhage (IPH), and 160 with ischemic stroke (IS). SAH patients had more sentinel headaches, more onset headaches, and more bilateral and severe onset headaches than patients with IPH or IS. Vomiting with onset headache was more common in SAH and IPH. In stepwise logistic regression analysis, onset headache and vomiting were direct predictors of SAH, but were inversely related to IS. Sentinel headache was not a predictor of underlying stroke mechanism. The data suggest that some headache features are more frequently associated with particular stroke subtypes and that onset headache and vomiting may be important indicators of stroke mechanism.
对51例急性蛛网膜下腔出血（SAH）患者、61例脑实质内出血（IPH）患者和160例缺血性卒中（IS）患者的头痛特征进行了比较。与IPH或IS患者相比，SAH患者有更多的前驱头痛、更多的起病头痛，以及更多的双侧和严重起病头痛。起病时伴有呕吐在SAH和IPH中更为常见。在逐步逻辑回归分析中，起病头痛和呕吐是SAH的直接预测因素，但与IS呈负相关。前驱头痛不是潜在卒中机制的预测因素。数据表明，一些头痛特征更常与特定的卒中亚型相关，而起病头痛和呕吐可能是卒中机制的重要指标。
