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[头痛鉴别诊断中脑血管病变的早期检测]

[Early detection of vascular cerebral pathology in differential diagnosis fo headache].

作者信息

Morozova O A

机构信息

Department of Nervous Diseases, Medical Institute, Chuvashiia.

出版信息

Klin Med (Mosk). 1997;75(11):30-1.

PMID:9490352
Abstract

A comprehensive study of cerebral hemodynamics and microcirculation was made in 261 patients complaining for headache. Clinical-diagnostic criteria for headache of vascular origin, a scheme of vascular headache pathogenesis are proposed. It was found that the first to appear were negative alterations in the venous microcirculation. Neurophysiological methods with functional loading tests for objectivation of vascular cerebral defects at early stages and in the follow-up proved diagnostically effective.

摘要

对261例主诉头痛的患者进行了脑血流动力学和微循环的综合研究。提出了血管性头痛的临床诊断标准以及血管性头痛发病机制的方案。发现首先出现的是静脉微循环的阴性改变。在早期阶段以及随访过程中,采用功能负荷试验的神经生理学方法来客观评估脑血管缺陷,证明具有诊断有效性。

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