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短暂性脑缺血发作或有先兆偏头痛?

Transient ischemic attack or migraine with aura?

机构信息

Nordlandssykehuset, UiT - Norges arktiske universitet.

St. Olavs hospital, NTNU.

出版信息

Tidsskr Nor Laegeforen. 2023 Oct 18;143(15). doi: 10.4045/tidsskr.23.0225. Print 2023 Oct 24.

Abstract

Migraine or migraine-like symptoms can contribute to a delayed stroke diagnosis. However, migraine with aura is a common stroke mimic and often the basis for acute thrombolytic therapy. It is probably also the reason why many patients are misdiagnosed with a transient ischemic attack. In this clinical review, we explain the factors that could differentiate a transient ischemic attack from a migraine with aura.

摘要

偏头痛或类似偏头痛的症状可能导致中风诊断延迟。然而,有先兆的偏头痛是一种常见的中风模拟症状,通常也是急性溶栓治疗的基础。这可能也是许多患者被误诊为短暂性脑缺血发作的原因。在本次临床综述中,我们解释了可将短暂性脑缺血发作与有先兆的偏头痛区分开的因素。

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