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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.

DOI:10.4045/tidsskr.23.0225
PMID:37874053
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。

相似文献

1
Transient ischemic attack or migraine with aura?短暂性脑缺血发作或有先兆偏头痛?
Tidsskr Nor Laegeforen. 2023 Oct 18;143(15). doi: 10.4045/tidsskr.23.0225. Print 2023 Oct 24.
2
[Migraine 'masks': differential diagnosis of acute headache].[偏头痛“伪装”:急性头痛的鉴别诊断]
Zh Nevrol Psikhiatr Im S S Korsakova. 2018;118(1):96-102. doi: 10.17116/jnevro20181181196-102.
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Explicit diagnostic criteria for transient ischemic attacks to differentiate it from migraine with aura.明确短暂性脑缺血发作的诊断标准,将其与有先兆偏头痛区分开来。
Cephalalgia. 2018 Jul;38(8):1463-1470. doi: 10.1177/0333102417736901. Epub 2017 Oct 10.
4
Migraine aura or transient ischemic attacks? A five-year follow-up case-control study of women with transient central nervous system disorders in pregnancy.偏头痛性先兆还是短暂性脑缺血发作?一项针对孕期短暂性中枢神经系统疾病女性的五年随访病例对照研究。
BMC Med. 2007 Jul 17;5:19. doi: 10.1186/1741-7015-5-19.
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Migrainous aura versus transient ischemic attack in an elderly migraineur.老年偏头痛患者的偏头痛性先兆与短暂性脑缺血发作
Headache. 2001 Feb;41(2):201-3. doi: 10.1046/j.1526-4610.2001.111006201.x.
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Late-life migraine accompaniments: A narrative review.老年偏头痛伴发症状:一项叙述性综述。
Cephalalgia. 2015 Sep;35(10):894-911. doi: 10.1177/0333102414560635. Epub 2014 Dec 12.
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Migraine aura without headache: benign, but a diagnosis of exclusion.无头痛性偏头痛先兆:属良性,但需排除其他诊断。
Cleve Clin J Med. 2005 Jun;72(6):529-34. doi: 10.3949/ccjm.72.6.529.
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[How do I distinguish migraine aura from TIA attack?].[我如何区分偏头痛先兆与短暂性脑缺血发作(TIA)?]
Duodecim. 2012;128(9):971-7.
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A young woman presenting with severe headache.
BMJ. 2013 May 23;346:f2448. doi: 10.1136/bmj.f2448.
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Migraine aura without headache versus transient ischemic attack during pregnancy.孕期无头痛性偏头痛发作与短暂性脑缺血发作
Headache. 2001 Apr;41(4):414-5. doi: 10.1046/j.1526-4610.2001.111006414.x.

引用本文的文献

1
Transient focal neurological symptoms and headache: is it TIA or migraine with aura?短暂性局灶性神经症状和头痛:是短暂性脑缺血发作还是伴先兆偏头痛?
J Headache Pain. 2025 Apr 24;26(1):87. doi: 10.1186/s10194-025-02038-8.
2
Transient hemiplegia in a patient with migraine: A case of sporadic hemiplegic migraine.一名偏头痛患者出现短暂性偏瘫:一例散发性偏瘫性偏头痛病例。
SAGE Open Med Case Rep. 2024 Aug 27;12:2050313X241275386. doi: 10.1177/2050313X241275386. eCollection 2024.