最近审阅: 5 十一月 2020
最近更新: 06 七月 2018

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 广泛头部疼痛
  • 额部或枕部头痛
  • 非搏动性头痛
  • 紧缩样疼痛
  • 神经系统体格检查正常

其他诊断因素

  • 颅周压痛
  • 胸锁乳突肌压痛
  • 斜方肌压痛
  • 颞肌压痛
  • 翼外肌压痛
  • 咬肌压痛
  • 畏光或畏声
  • 经常使用镇痛药
  • 焦虑和抑郁
  • 躯体化

危险因素

  • 精神紧张
  • 压力
  • 饮食不规律
  • 疲劳
  • 躯体化
  • 女性
  • 年龄20~39岁
  • 社会经济状况较差
  • 过度使用镇痛药

诊断性检查

需考虑的检查

  • 鼻窦CT扫描
  • 颅脑 MRI 扫描
  • 腰椎穿刺:
更多 需考虑的检查

治疗流程

撰稿人

Mark W. Green

Professor of Neurology, Anesthesiology and Rehabilitation Medicine

Director of Headache and Pain Medicine

Icahn School of Medicine at Mount Sinai

New York

NY

利益声明

MWG declares that he has no competing interests.

Assistant Professor of Neurology

Icahn School of Medicine at Mount Sinai

New York

NY

利益声明

RC declares that she has no competing interests.

同行评议者展开全部内容

Consultant Neurologist

Barts Health NHS Trust

London

UK

利益声明

GE is involved in a number of clinical trials on multiple sclerosis sponsored by Genzyme, Roche, Teva, Novartis, Biogen, as well as one funded by the MRC. He is also involved in clinical trials sponsored by Allergan, NMT Medical, GlaxoSmithKline (GSK), Bristol-Myers, the UK's Parkinson's Disease Research Group, and Pharmacia. In addition, he has attended lectures, conferences, and symposia with the following companies: GSK, Astra Zeneca, MSD, Almirall, Pfizer, Menarini, Allergan, Biogen, Teva, Conference Plus, Infomed, BMJ.

Director

Walton Headache Center

Augusta

GA

利益声明

MSH declares that he has no competing interests.

Consultant Neurologist

Northampton General Hospital

Northampton

UK

利益声明

PD declares that he has no competing interests.

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