头痛 (Headache).pptVIP

头痛 (Headache) 原南京中大附属医院神内科主任、硕士生导师 佛山大学医学院医学系孟红旗教授、主任医师 Professor、Doctor director 、Neurologist What’s the matter with her? I have a headache A Cure for a Headache One day a man went into a chemists shop and said, Have you anything to cure a headache? The chemist took a bottle from a shelf, held it under the gentlemans nose and took out the cork. The smell was so strong that tears came into the mans eyes and ran down him cheeks. What did you do that for? he said angrily, as soon as he could get back his breath. but that medicine has cured your headache, hasnt it? You fool. said the man, Its my wife that has the headache, not me. Definition of a Headache Unpleasant sensations in the regions of cranial vault. Headache is one of the most  common clinical symptoms. Its pathogenesis is more  complicated. 90% of individuals have at least one headache per year 头痛是指颅外或颅内疾病刺激对疼痛的敏感结构,造成头颅上半部(眉毛、耳轮上部、枕外隆突联线以上）的疼痛。也可以是面部或颈部所引起的牵涉痛。头痛在西医来说仅仅是个临床症状，而不是一个独立的疾病。 Etiology Headache occurs in all age groups and is the seventh leading reason for medical office visits; Although most often a benign condition, headache of new onset may be the earliest or the principal manifestation of serious systemic or intracranial disease. An etiologic diagnosis of headache on based on understanding the pathophysiology of head pain; obtaining a history ,with characterization of the pain as acute, subacute,or chronic; perorming a careful physical examination; and formulating a differential diagnosis. Etiology Intracranial disease Extracranial disease Systemic disease Neurosis Intracranial disease Infection: encephalitis (脑膜炎) Vascular disease: cerebral accident Tumor Cranial injury: concussion of brain （脑震荡） varying combination of headache, dizziness, vertigo, impaired memory, irritability and difficulty with concentration Others: migraine （偏头痛） cluster headache （丛集性头痛） 颅内病变引起的头痛 （一）脑膜脑炎：属脑膜刺激性头痛，颈项部也多疼痛，有脑膜刺激征