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丛集性头痛:当前知识理解与全程管理方向

Cluster headache: understandings of current knowledge and directions for whole process management.

作者信息

Xu Xiao-Hu, Li Yi-Ming, Ren Li-Na, Xu Xiao-Fan, Dai Yi-Long, Jin Cheng-Qiang, Yang Rui-Rui

机构信息

Department of Clinical Medicine, Jining Medical University, Jining, Shandong, China.

Medical Laboratory, Affiliated Hospital of Jining Medical University, Jining Medical University, Jining, Shandong, China.

出版信息

Front Neurol. 2024 Aug 21;15:1456517. doi: 10.3389/fneur.2024.1456517. eCollection 2024.

DOI:10.3389/fneur.2024.1456517
PMID:39233684
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11371566/
Abstract

Cluster headache (CH) is a common primary headache that severely impacts patients' quality of life, characterized by recurrent, severe, unilateral headaches often centered around the eyes, temples, or forehead. Distinguishing CH from other headache disorders is challenging, and its pathogenesis remains unclear. Notably, patients with CH often experience high levels of depression and suicidal tendencies, necessitating increased clinical attention. This comprehensive assessment combines various reports and the latest scientific literature to evaluate the current state of CH research. It covers epidemiology, population characteristics, predisposing factors, and treatment strategies. Additionally, we provide strategic insights into the holistic management of CH, which involves continuous, individualized care throughout the prevention, treatment, and rehabilitation stages. Recent advances in the field have revealed new insights into the pathophysiology of CH. While these findings are still evolving, they offer a more detailed understanding of the neurobiological mechanisms underlying this disorder. This growing body of knowledge, alongside ongoing research efforts, promises to lead to the development of more targeted and effective treatments in the future.

摘要

丛集性头痛(CH)是一种常见的原发性头痛,严重影响患者的生活质量,其特征为反复发作的严重单侧头痛,通常以眼睛、太阳穴或前额为中心。将丛集性头痛与其他头痛疾病区分开来具有挑战性,其发病机制仍不清楚。值得注意的是,丛集性头痛患者常伴有高度抑郁和自杀倾向,需要临床给予更多关注。本综合评估结合了各种报告和最新科学文献,以评估丛集性头痛的研究现状。它涵盖了流行病学、人群特征、诱发因素和治疗策略。此外,我们还提供了关于丛集性头痛整体管理的战略见解,这包括在预防、治疗和康复阶段进行持续的个性化护理。该领域的最新进展揭示了丛集性头痛病理生理学的新见解。虽然这些发现仍在不断发展,但它们为这种疾病背后的神经生物学机制提供了更详细的理解。随着这一知识体系的不断增长,以及正在进行的研究工作,有望在未来开发出更有针对性、更有效的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/521a/11371566/0254951eec2a/fneur-15-1456517-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/521a/11371566/4cd43ae24002/fneur-15-1456517-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/521a/11371566/0254951eec2a/fneur-15-1456517-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/521a/11371566/4cd43ae24002/fneur-15-1456517-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/521a/11371566/0254951eec2a/fneur-15-1456517-g002.jpg

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Cluster Headache, SUNCT, and SUNA.丛集性头痛、SUNCT、和 SUNA。
Continuum (Minneap Minn). 2024 Apr 1;30(2):391-410. doi: 10.1212/CON.0000000000001411.
3
Cluster headache: an update on clinical features, epidemiology, pathophysiology, diagnosis, and treatment.丛集性头痛:临床特征、流行病学、病理生理学、诊断及治疗的最新进展
Front Pain Res (Lausanne). 2024 Mar 8;5:1373528. doi: 10.3389/fpain.2024.1373528. eCollection 2024.
4
One-year prevalence of cluster headache, hemicrania continua, paroxysmal hemicrania and SUNCT in Norway: a population-based nationwide registry study.挪威簇性头痛、连续性偏侧头痛、阵发性偏侧头痛和丛集性头痛的一年患病率:基于人群的全国性登记研究。
J Headache Pain. 2024 Mar 6;25(1):30. doi: 10.1186/s10194-024-01738-x.
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The Untold Story of Occipital Nerve Stimulation in Patients With Cluster Headache: Surgical Technique in Relation to Clinical Efficacy.丛集性头痛患者枕神经刺激的未竟之述:手术技术与临床疗效的关系。
Neuromodulation. 2024 Jan;27(1):22-35. doi: 10.1016/j.neurom.2023.10.005. Epub 2023 Nov 30.
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J Clin Med. 2023 Sep 30;12(19):6315. doi: 10.3390/jcm12196315.
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