CHRONIC PAROXYSMAL HEMICRANIAL - MECHANICAL PRECIPITATION OF ATTACKS

被引：46

作者：

SJAASTAD, O

EGGE, K

HORVEN, I

KAYED, K

LUNDROLAND, L

RUSSELL, D

SLORDAHLCONRADI, I

机构：

[1] DRAMMEN CTY HOSP,DRAMMEN,NORWAY

[2] UNIV OSLO HOSP,RIKSHOSP,DEPT NEUROL,N-1000 OSLO,NORWAY

来源：

HEADACHE | 1979年 / 19卷 / 01期

关键词：

D O I：

10.1111/j.1526-4610.1979.hed1901031.x

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

SYNOPSIS, Chronic paroxysmal hemicrania (CPH) is a cluster headache variant, characterized by daily, frequent, unilateral, excruciatingly severe but rather short lasting headache attacks, which will not surface during chronic indomethacin medication. Three of five patients with an established diagnosis of CPH were able to precipitate attacks by head flexion (or rotation), whereas this ability was not detected in any of 40 patients with regular cluster headache. Attacks with associated unilateral tearing, conjunctival injection, slight miosis, ptosis and headache may start 4–15 second after beginning of head flexion. Precipitated and spontaneous attacks seem identical both clinically and as far as the immediate increment in corneal indentation pulse (CIP) amplitudes and intraocular pressure are concerned. There are various alternative explanations for the underlying mechanism, the most plausible of which concerns sympathetic nerve involvement. Copyright © 1979, Wiley Blackwell. All rights reserved

引用

页码：31 / 36

页数：6

共 7 条

[1] ROTATIONAL OBSTRUCTION OF VERTEBRAL ARTERY AT ATLANTOAXIAL JOINT [J].