Nelson C F
Center for Clinical Studies, Northwestern College of Chiropractic, Bloomington, MN 55431.
J Manipulative Physiol Ther. 1994 Mar-Apr;17(3):156-67.
There is evidence in the literature that tension-type and migraine headaches do not exist as discrete pathophysiologic entities but form a continuum. The mechanisms for tension and migraine headaches are discussed and the evidence for this continuum, both basic scientific and clinical, is reviewed. A model for chronic headaches based on this evidence and based on clinical observations by the author is presented. Clinical and research implications of this model and means of testing the model are discussed.
文献中有证据表明，紧张型头痛和偏头痛并非作为离散的病理生理实体存在，而是形成一个连续体。本文讨论了紧张型头痛和偏头痛的发病机制，并综述了支持这一连续体的基础科学和临床证据。基于这些证据以及作者的临床观察，提出了一个慢性头痛的模型。本文还讨论了该模型的临床和研究意义以及验证该模型的方法。
