最后审阅: 8 十一月 2021
最后更新: 27 十月 2021

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
  • 女性
  • 肥胖
  • 应激性生活事件
  • 过度用药
  • 睡眠障碍
  • 社会经济地位低
  • 过敏或哮喘
  • 甲状腺功能减退

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
  • 颅脑 MRI 扫描
  • 头颅 CT
  • 血管造影术

治疗流程

撰稿人

作者

Timothy A. Collins, MD

Associate Professor of Neurology

Chief

Headache Division

Department of Neurology

Duke University Medical Center

Durham

NC

利益声明

TAC served as a paid consultant for Alphasights (a global healthcare consulting organization) in 2017 and 2018 regarding migraine headache diagnosis and treatment. He provides expert testimony for legal cases regarding headache disorders and treatment (approximately one case per year). TAC is an author of several references cited in this topic.

鸣谢

Dr Timothy Collins would like to gratefully acknowledge Dr Ann Donnelly, the previous contributor to this topic.

利益声明

AD declares that she has no competing interests.

同行评议者

Anne Walling, MD

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.

Marc S. Husid, MD

Director

Walton Headache Center

Augusta

GA

利益声明

MSH declares that he has no competing interests.

内容使用需遵循免责声明