Última revisão: 6 Nov 2021
Última atualização: 23 Jun 2021

Resumo

Definição

História e exame físico

Principais fatores diagnósticos

  • presença de fatores de risco
  • ataques repetidos de dor unilateral
  • dor excruciante
  • lacrimejamento, rinorreia e síndrome de Horner parcial
  • agitação
  • náuseas e vômitos
  • fotofobia, fonofobia
  • enxaqueca com aura

Fatores de risco

  • sexo masculino
  • história familiar
  • traumatismo cranioencefálico
  • tabagismo
  • consumo excessivo de álcool

Investigações diagnósticas

Primeiras investigações a serem solicitadas

  • tomografia computadorizada (TC) ou ressonância nuclear magnética (RNM) cranioencefálica
  • velocidade de hemossedimentação
  • testes de função da hipófise

Algoritmo de tratamento

Colaboradores

Autores

Sarah Miller, MBBS, BSc, MRCP (Neuro)

Clinical Research Fellow

Headache Group

National Hospital for Neurology and Neurosurgery

London

UK

Declarações

SM declares that she has received an educational grant from St Jude Medical and Medtronic. SM has received payment for educational presentations from Allergan and Autonomic Technologies, Inc.

Alok Tyagi, MBBS, MD, DNB, MRCP, DM

Consultant Neurologist

Southern General Hospital

Glasgow

UK

Declarações

AT has been on advisory boards for Allergan and electroCore. AT has received organisational payments from eNeura, Allergan, and electroCore.

Manjit S. Matharu, BSc, MBChB, FRCP

Senior Lecturer and Honorary Consultant Neurologist

Headache Group

National Hospital for Neurology and Neurosurgery

London

UK

Declarações

MSM serves on the advisory board for Allergan, St Jude Medical, and Medtronic. MSM has received payment for the development of educational presentations from Allergan, MSD, Medtronic, and electroCore.

Agradecimentos

Dr Sarah Miller, Dr Alok Tyagi, and Dr Manjit S. Matharu would like to gratefully acknowledge the assistance of Dr Marc S. Husid and Dr Davis L. Mellick. MSH and DLM declare that they have no competing interests.

Revisores

Mark W. Green, MD, FAAN

Director of Headache and Pain Medicine

Professor of Neurology, Anesthesiology, and Rehabilitation Medicine

Icahn School of Medicine at Mount Sinai

New York

NY

Declarações

MWG declares that he has no competing interests.

Anne Walling, MD

Professor

Family and Community Medicine

University of Kansas School of Medicine

Wichita

KS

Declarações

AW declares that she has no competing interests.

Christian Lampl, MD, PhD

Department Head

Department of Neurology and Pain Medicine

Konventhospital Barmherzige Brüder Linz

Linz

Austria

Declarações

CL declares that he has no competing interests.

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