三叉神经自主神经性头痛的诊治.pdf

506 Chinese Journalof Practical InternalMedicine Jun. 2010 Vol. 30 No. 6 , 篇主要研究方向为头面痛的基础与临床 ,, :文章主要介绍了三叉神经自主神经性头痛的分 类及主要类型的临床表现诊断标准及治疗其发作具有 头痛和显著的头颅副交感神经激活的特点丛集性头痛急 [ 1] Rapoport A, Stang P, Gutterman DL, et al. Analgesic rebound 性发作期最有效的治疗是吸氧和皮下使用舒马坦,发作性 headache in clinicalpractice: data from a physician survey[ J]. 丛集性头痛预防治疗首选麦角胺,其次为维拉帕米慢性 Headache, 1996, 36: 14- 19. 丛集性头痛预防治疗, 首选维拉帕米联合应用锂盐阵发 [2] ,,. [ J]. 性偏侧头痛吲哚美辛有绝对疗效伴有结膜充血及流泪的 , 2009, 15( 2): 68- 71. 单侧短暂持续性神经痛样头痛可选用拉莫三嗪托吡酯和 [3] MeskunasCA, Tepper SJ, RapoportAM, etal. Medications assoc2i 加巴喷丁治疗 atedw ith probablemedication overuse headache reported in a ter2 :丛集性头痛; 阵发性偏侧头痛; 伴有结膜充血 tiary care headache center over a 152year period[ J]. H eadache, 及流泪的单侧短暂持续性神经痛样头痛 2006, 46: 766- 772. [4] Olesen J, BousserMG, DienerHC, et al. New appendix criteria open for a broader conceptof chronicmigraine[ J]. Celphalagia, D iagnosis and therapy of trigem inal autonom ic cephalalgi2 2006, 26: 742- 746. as. LIU Ruo2zhuo.D ep artment of N eurology of PLA General [5] Paolo R, Rigmor J, Giuseppe N, et al. A narrative review on the H osp ital, Beijing 100853, China managementofmedication overuse headache: the steep road from Summ ary: This paper introduces the classification of tri2 experience to evidence[ J]. J H eadache Pain, 2009, 10: 407- gem inalautonomic cephalalgias (TAC) and their clinicalmani2 417. festation