神经病学（人卫九版）12-偏头痛.ppt

* 疼痛------与损伤有关或用损伤描述的不愉快感觉或情绪。 * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * * 3.1 Cluster headache 3.2 Paroxysmal hemicrania Part 2:The secondary headaches Primary or secondary headache? Primary or secondary headache? Primary or secondary headache? Diagnostic criteriafor secondary headaches Important general rules 11. Headache or facial pain attributed to disorder of cranium, neck, eyes, ears, nose, sinuses, teeth, mouth or other facial or cranial structures 11.2.1 Cervicogenic headache 11.2.1 Cervicogenic headache 11.2.1 Cervicogenic headacheNotes 11.3 Headache attributed to disorder of eyes 11.3.1 Headache attributed to acute glaucoma 11.5 Headache attributed to rhinosinusitis 11.5 Headache attributed to rhinosinusitisNotes 11.7 Headache or facial pain attributed to temporomandibular joint disorder 12. Headache attributed to psychiatric disorderNew section in classification 12. Headache attributed to psychiatric disorderNotes 12.1 Headache attributed to somatisation disorder 12.2 Headache attributed to psychotic disorder Part 3:Cranial neuralgias, central and primary facial pain and other headaches 3. Cranial neuralgias and central causes of facial pain 13.1 Trigeminal neuralgia 13.1.1 Classical trigeminal neuralgia 13.1.2 Symptomatic trigeminal neuralgia 13.18.4 Persistent idiopathicfacial pain Previously used term: Atypical facial pain ACUTE HEADACHE IN THEEMERGENCY DEPARTMENT Drug Dose Route Aspirin 500-650 mg Oral Paracetamol 500 mg-4 g Oral MIGRAINE: ABORTIVE THERAPY Non-specific treatment Ibuprofen 200- 300 mg Oral Diclofenac 50-100 mg Oral/IM Naproxen 500-750 mg Oral ABORTIVE THERAPY FOR MIGRAINE Drug Dose Route Ergot alkaloids Ergotamine 1-2 mg/d; max-6 g/d Oral Dihydroergotamine 0.75-1 mg SC 5-HT receptor agonists Sumatriptan 25-300 mg 6 mg Orally SC Rizatriptan 10 mg Orally Specific treatment Drug Dose (mg)/d Route Domperidone 10-80 mg Oral Metoclopramide 5-10 mg Oral/IV Promethazine 50-125 mg Oral/IM Chlo