Bono G, Merlo P, Sances G, Tancioni F, Mauri M
Istituto Neurologico C. Mondino, Pavia.
Ital J Neurol Sci. 1995 Nov;16(8 Suppl):21-8.
This paper is aimed to discuss some aspects of so-called symptomatic or secondary headaches with particular reference to the diagnostic criteria proposed by the IHS Classification Committee on headache disorders, cranial neuralgias and other head pain. Symptomatic headaches, in fact, represent an heterogenous group of conditions, sometimes with relevant clinical importance as warning symptoms of major intracranial pathology, sometimes benign in nature and with ill-defined clinical pictures and unclear relationship with the causative factor or event. It is therefore important to establish general principles for a more systematic approach to the problem of this group of headaches, also considering that some particular forms of secondary headaches, may be viewed as reliable "in-vivo" models for pathophysiological investigation in head pain.
本文旨在讨论所谓的症状性或继发性头痛的某些方面，特别参考国际头痛协会（IHS）头痛疾病、颅神经痛及其他头痛分类委员会提出的诊断标准。事实上，症状性头痛是一组异质性疾病，有时作为主要颅内病变的警示症状具有重要临床意义，有时性质良性，临床表现不明确，与致病因素或事件的关系也不清楚。因此，为更系统地处理这组头痛问题确立一般原则很重要，同时还要考虑到某些特殊形式的继发性头痛可被视为头痛病理生理学研究可靠的“体内”模型。
