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脑震荡与头痛:(作者译)

[Commotio cerebri and headache: (author's transl)].

作者信息

Wessely P

出版信息

MMW Munch Med Wochenschr. 1977 Apr 8;119(14):461-4.

PMID:404543
Abstract

Headaches form an essential part of the syndrome after concussion of the brain. The origin of these may be extracranial (neuralgias in scar tissue and hematomas, neuralgiform headache as a result of injury to the cervical spine) as well as diffuse in the sense of vasomotr cephalalgia which are due to central regulation disorders of the circulation caused by psychogenic mechanisms and compensatory neurosis. Methods of therapy include the use of vasoactive substances especially for vasomotor cephalalgia, immobilisation and local anesthesia in neuralgias, and psychopharmocological as well as psychotherapeutic aid in psychogenic complaints.

摘要

头痛是脑震荡后综合征的重要组成部分。其起源可能是颅外的(瘢痕组织和血肿中的神经痛,颈椎损伤导致的神经样头痛),也可能是弥漫性的血管舒缩性头痛,这是由心理机制和代偿性神经症引起的循环中枢调节障碍所致。治疗方法包括使用血管活性物质,特别是针对血管舒缩性头痛,神经痛时进行固定和局部麻醉,以及对心理性主诉给予精神药理学和心理治疗帮助。

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