De Marinis M, Accornero N
Department of Neurological Sciences, La Sapienza University, Rome, Italy.
J Neurol Neurosurg Psychiatry. 1997 Jun;62(6):669-70. doi: 10.1136/jnnp.62.6.669.
Four patients who had recurrent attacks of idiopathic unilateral neck pain and tenderness of the ipsilateral carotid artery are described. Two patients had never had headache. The other two had migraine without aura. All patients had dilatation of extracranial arteries during the attacks (telethermographic examination), oculosympathetic hypofunction (pupillary tests), and positive responses to vasoactive drugs which are commonly used for migraine treatment. Recurrent neck pain involving the carotid artery seems to be a variant form of migraine that may occur alone or in association with headache in patients with involvement of extracranial arteries.
本文描述了4例患有复发性特发性单侧颈部疼痛且同侧颈动脉压痛的患者。2例患者从未有过头痛。另外2例有无先兆偏头痛。所有患者在发作期间均有颅外动脉扩张（远红外线热像图检查）、眼交感神经功能减退（瞳孔检查），并且对常用于偏头痛治疗的血管活性药物有阳性反应。涉及颈动脉的复发性颈部疼痛似乎是偏头痛的一种变异形式，可单独出现，或在颅外动脉受累的患者中与头痛同时出现。
