Nelson R F
Can Med Assoc J. 1970 Nov 7;103(10):1026-30.
A review is presented of a distinctive type of vascular headache and its stereotyped features are emphasized, viz. severe non-throbbing character, unilateral and usually peri-ocular localization, frequent nocturnal occurrence and tendency to occur in brief episodes in a clustered pattern over weeks or months, with headache-free periods lasting months or years.Ten illustrative case histories are given and a plea is made for the early clinical recognition of this entity so that patients will not be submitted to unnecessary and potentially hazardous investigative procedures. While the common analgesics and narcotics are usually ineffective, ergotamine derivatives, methysergide and a new compound, BC-105, are highly effective forms of therapy.
本文综述了一种独特类型的血管性头痛，并强调了其刻板特征，即严重的非搏动性特征、单侧且通常为眼周定位、频繁夜间发作以及倾向于在数周或数月内呈簇状短暂发作，其间有持续数月或数年的无头痛期。给出了10个说明性病例，并呼吁早期临床识别该病症，以免患者接受不必要且可能有风险的检查程序。虽然常用的镇痛药和麻醉药通常无效，但麦角胺衍生物、甲基麦角新碱和一种新化合物BC - 105是非常有效的治疗形式。
