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以偏头痛为表现的自发性颈动脉夹层——不可漏诊的疾病。

Spontaneous carotid artery dissection presenting as migraine--a diagnosis not to be missed.

作者信息

Mirza Z, Hayward P, Hulbert D

机构信息

Department of Accident and Emergency Medicine, West Middlesex University Hospital, Isleworth, UK.

出版信息

J Accid Emerg Med. 1998 May;15(3):187-9. doi: 10.1136/emj.15.3.187.

DOI:10.1136/emj.15.3.187
PMID:9639183
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1343063/
Abstract

Two cases are reported in which the diagnosis of a serious condition was delayed as the symptoms had been attributed to migraine. Spontaneous carotid artery dissection is a serious but treatable cause of headache that may be misdiagnosed as recent onset migraine. The importance of correctly identifying this condition is emphasised.

摘要

报告了两例病例，由于症状被归因于偏头痛，严重疾病的诊断被延迟。自发性颈动脉夹层是一种严重但可治疗的头痛原因，可能被误诊为新发偏头痛。强调了正确识别这种疾病的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7593/1343063/1bd0f6c9209a/jaccidem00024-0048-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7593/1343063/1bd0f6c9209a/jaccidem00024-0048-a.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7593/1343063/1bd0f6c9209a/jaccidem00024-0048-a.jpg

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本文引用的文献

1
Spontaneous bilateral internal carotid artery dissection and migraine: a potential diagnostic delay.
Headache. 1997 Feb;37(2):109-12. doi: 10.1046/j.1526-4610.1997.3702109.x.
2
Recurrent spontaneous cervical-artery dissection.复发性自发性颈动脉瘤夹层
N Engl J Med. 1994 Feb 10;330(6):393-7. doi: 10.1056/NEJM199402103300604.
3
Nonpenetrating trauma to the carotid artery: seven cases and a literature review.颈动脉非穿透性创伤：7例报告及文献复习
J Trauma. 1994 Feb;36(2):265-72. doi: 10.1097/00005373-199402000-00025.
J Neurol Neurosurg Psychiatry. 2006 Sep;77(9):1021-4. doi: 10.1136/jnnp.2006.094359. Epub 2006 Jul 4.
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Spontaneous carotid artery dissection.自发性颈动脉夹层
J Accid Emerg Med. 1999 Jan;16(1):76-7. doi: 10.1136/emj.16.1.76-b.
4
The spectrum of blunt injury to the carotid artery: a multicenter perspective.
J Trauma. 1994 Sep;37(3):473-9. doi: 10.1097/00005373-199409000-00024.
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Spontaneous internal carotid artery dissection: early diagnosis and management in 44 patients.自发性颈内动脉夹层：44例患者的早期诊断与治疗
J Neurol. 1995 Mar;242(4):231-8. doi: 10.1007/BF00919596.
6
Headache and neck pain in spontaneous internal carotid and vertebral artery dissections.自发性颈内动脉和椎动脉夹层中的头痛和颈部疼痛
Neurology. 1995 Aug;45(8):1517-22. doi: 10.1212/wnl.45.8.1517.
7
Spontaneous extracranial carotid artery dissection in children.儿童自发性颅外颈动脉夹层
Pediatr Neurol. 1995 Jul;13(1):55-60. doi: 10.1016/0887-8994(95)00056-l.
8
Carotid artery injuries caused by blunt trauma.钝性创伤所致的颈动脉损伤。
Ann Surg. 1980 Jul;192(1):74-7. doi: 10.1097/00000658-198007000-00013.
9
Beware the patient with a headache in the accident and emergency department.在急诊室要小心头痛患者。
Arch Emerg Med. 1989 Mar;6(1):7-12. doi: 10.1136/emj.6.1.7.
10
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