最近审阅: 七月 2020
最近更新: 三月  2020

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 长期头痛
  • 恶心
  • 机能下降
  • 活动时头痛加重
  • 对光敏感
  • 对噪声敏感
  • 先兆

其他诊断因素

  • 呕吐
  • 单侧耳鸣
  • 搏动感

危险因素

  • 偏头痛的家族史
  • 咖啡因摄入量高
  • 暴露于大气压力变化
  • 女性
  • 肥胖
  • 习惯性打鼾
  • 应激性生活事件
  • 过度使用头痛药物
  • 睡眠不足
  • 社会经济地位低
  • 过敏或哮喘
  • 高血压
  • 甲状腺功能减退
  • 饮食

诊断性检查

需考虑的检查

  • 红细胞沉降率 (ESR)
  • 腰椎穿刺术 (LP)
  • 脑脊液 (CSF) 培养
  • 头颅 CT
  • 颅脑 MRI 扫描
更多 需考虑的检查

治疗流程

撰稿人

Associate Professor of Neurology

Chief

Headache Division

Department of Neurology

Duke University Medical Center

Durham

NC

利益声明

TAC was an unpaid site PI for the Alder study ALD403-CLIN-011 (monoclonal Ab against CGRP as treatment for chronic migraine), which ended in July 2017. TAC served as a paid consultant for Eli Lilly Co. in November 2016. In 2017 he served as a paid consultant for Alphasights, a global healthcare consulting organization, regarding migraine headache diagnosis and treatment. He has provided expert testimony regarding headache disorders for a legal case in 2015, and expects to be paid to provide expert testimony on headache disorders in 2018 for a legal case relating to the diagnosis, treatment, and standard of care for headache disorders.

Dr Timothy Collins would like to gratefully acknowledge Dr Ann Donnelly, the previous contributor to this monograph. AD declares that she has no competing interests.

同行评议者展开全部内容

Professor

Family and Community Medicine

University of Kansas School of Medicine

Wichita

KS

利益声明

AW declares that she has no competing interests.

Director

Walton Headache Center

Augusta

GA

利益声明

MSH declares that he has no competing interests.

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