Freilich D
Department of Neurology, Western Hospital, Footscray, Victoria.
Aust Fam Physician. 1998 Jul;27(7):591-6.
Migraine is a common disorder affecting 8-10% of the population. It results in significant morbidity and has social and economic consequences. Vascular and neurogenic mechanisms are involved in the genesis of migraine. Serotonin plays an important part. Attacks are brought on by internal (not identified) and external (identified) trigger factors in people predisposed to the condition, often on an hereditary basis.
The diagnosis of migraine depends on the recognition of the features specific to the condition. This article aims to define these features.
There are diagnostic criteria which define the two main types of migraine--migraine with aura and migraine without aura. The variants of migraine need to be recognised and migraine needs to be distinguished from cluster headache. It is also important to recognise and exclude sinister causes of headache. Treatment is not discussed.
偏头痛是一种常见疾病,影响着8% - 10%的人口。它会导致严重的发病情况,并产生社会和经济后果。血管和神经机制参与了偏头痛的发病过程。血清素起着重要作用。偏头痛发作由内在(未明确)和外在(已明确)触发因素引发,这些因素作用于易患偏头痛的人群,往往具有遗传基础。
偏头痛的诊断依赖于对该病特有特征的识别。本文旨在明确这些特征。
有诊断标准来定义偏头痛的两种主要类型——有先兆偏头痛和无先兆偏头痛。需要识别偏头痛的各种变体,并将偏头痛与丛集性头痛区分开来。识别并排除头痛的严重病因也很重要。本文未讨论治疗方法。