02migraine课前预习资料.ppt

d. migraine Equivalents （偏头痛等值症）: abdominal pain, thorax, pelvis and limbs pain, bouts fever, attacks of tachycardia, benign paroxysmal vertigo, cyclic edema, and so on. episodic, recurrence, excluded from other systemic diseases by history and examinations. D . Diagnosis of migraine the diagnosis of migraine will be in keeping with below criterion. a. Migraine with aura 1. Have 2 subjects of below,break out 2 at least; 2. Have below characteristic at least 3 subjects: 1) More than 1 time aura of functional disturbance in focal cortex or brainstem 2) An aura at least gradual development and persist more than 4 min., or have 2 auras； 3）The aura persists less than 60 min.; 4) There is not an interval time between the aura and headache; 3. Have one of below at least： 1) No evidence of organic diseases by history and examination； 2）A possible of organic diseases by history and examination, but was deny by test； 3）Although have some organic diseases,but the 1st b. Migraine without aura 1 . Have 2-- 4 subjects of below,break out more than 5 times at least ; 2 . If not treat, it continues 4-72 h. a seizure,; 3 . Have below characteristic at least 2 subjects: 1))unilateral; 2)pulsatile(throbbing) ； 3)middle-serious degree,daily life limited; 4)Headache serious after act ； 4. Have one of below: 1)nausea vomiting; 2)photophobia,phonophobia； 5.Without other known similar diseases , and exclude other diseases of the body. C . Difference diagnosis: 1. cluster headache 2. tension-type headache (TTH） 3. other vascular pain 4. Painful ophthalmoplegia 5. carotidynia 1) Cluster headache men women ;(4～5：1） 20--50 yr.; recurrent; several or many times daily for several days or weekes; Prodromes are uncommon, Ictal and stop suddenly; periorbital strong pain with congestion of the conjunctivae,lacrimation, occasional ptosis of the eyelids and sweating; 2）Tension--type headache Tension--type headache is a chronic disorder that most patients begi