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慢性阵发性偏侧头痛患者的热成像和瞳孔不对称:一项病例研究。

Thermographic and pupillary asymmetry in chronic paroxysmal hemicrania. A case study.

作者信息

Drummond P D

出版信息

Cephalalgia. 1985 Sep;5(3):133-6. doi: 10.1046/j.1468-2982.1985.0503133.x.

DOI:10.1046/j.1468-2982.1985.0503133.x
PMID:4042152
Abstract

Facial temperature was measured thermographically and pupillary diameter recorded photographically during and between episodes of headache and during spontaneous remission of headache in a patient with chronic paroxysmal hemicrania (CPH). Heat loss from the orbit, nose, cheek and temple was 0.75-1.5 degrees C greater on the symptomatic side during headache, and 0.25-0.75 degrees C greater between headache episodes. Heat loss from these regions of the face was symmetrical during remission of headache. Extensive rhinorrhoea, and slight ptosis and miosis were observed during the active phase of CPH. These findings, which are similar to those previously reported in cluster headache, suggest that CPH is associated with an ocular sympathetic deficit and with overactivity in the greater superficial petrosal nerve.

摘要

对一名慢性阵发性偏侧头痛(CPH)患者,在头痛发作期间、发作间期以及头痛自然缓解期,通过热成像法测量面部温度,并通过摄影记录瞳孔直径。在头痛发作时,患侧眼眶、鼻子、脸颊和颞部的热量散失比另一侧高0.75 - 1.5摄氏度,在头痛发作间期则高0.25 - 0.75摄氏度。在头痛缓解期,面部这些区域的热量散失是对称的。在CPH的活动期观察到大量鼻漏、轻微上睑下垂和瞳孔缩小。这些发现与先前丛集性头痛的报道相似,表明CPH与眼交感神经功能缺陷以及岩浅大神经活动过度有关。

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引用本文的文献

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Effective management of ice pick pains, SUNCT, and episodic and chronic paroxysmal hemicrania.冰锥样头痛、SUNCT以及发作性和慢性阵发性偏侧头痛的有效管理。
Curr Pain Headache Rep. 2001 Jun;5(3):292-9. doi: 10.1007/s11916-001-0046-6.
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Pupillary abnormalities due to sympathetic dysfunction in different forms of idiopathic headache.不同形式特发性头痛中因交感神经功能障碍导致的瞳孔异常
Clin Auton Res. 1994 Dec;4(6):331-8. doi: 10.1007/BF01821534.