Walser H, Isler H
Schweiz Med Wochenschr. 1984 Sep 1;114(35):1180-5.
Basilar migraine is a well defined condition which is easily identified by a characteristic clinical picture such as headache associated with visual, cerebellar and brainstem symptoms. Occasionally, severe disturbances of consciousness may occur which blur this otherwise unequivocal clinical condition. Hence, diagnosis may be difficult. CT-scan, electroencephalography and lumbar puncture are then necessary in order to rule out more severe disorders. Treatment of this condition corresponds to the therapy of more common types of migraine. There is, however, no rationale for the administration of drugs conventionally used for migraine prophylaxis in patients with severe disturbances of consciousness, though treatment of brain edema with steroids may be helpful or occasionally even necessary.
基底型偏头痛是一种定义明确的病症，通过典型的临床表现，如伴有视觉、小脑及脑干症状的头痛，很容易识别。偶尔会出现严重的意识障碍，这会使原本明确的临床症状变得模糊不清。因此，诊断可能会有困难。此时需要进行CT扫描、脑电图检查及腰椎穿刺，以排除更严重的疾病。这种病症的治疗与更常见类型偏头痛的治疗方法一致。然而，对于有意识严重障碍的患者，使用传统用于偏头痛预防的药物并无依据，不过用类固醇治疗脑水肿可能会有帮助，甚至偶尔是必要的。
