Linear headache: clinical characteristics of eight new cases.
Linear headache: clinical characteristics of eight new cases.
复制标题
线性头痛：八个新病例的临床特征。
DOI：
10.1186/s40064-016-1991-1
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
Wang Y
中科院分区：
文献类型：
--
作者：
Lu YN;Pan QQ;Pan JF;Wang L;Lu YY;Hu LH;Wang Y
线性头痛最近被描述为一种发作性或持续性的固定性头痛，局限于宽度为5-10 mm的线性轨迹，将枕部或枕颈区的一个端点与同侧鼻部或额部的另一个端点连接起来。对于一些患者来说，这种头痛有一些类似于没有先兆的偏头痛的特征。我们对出现在黄体生成素标题下的临床图像的患者进行了前瞻性搜索，我们获得了8个新病例。所有病例均有详细的头痛临床特征，以鉴别脑神经痛、发作性偏头痛、颈源性头痛、麻木头痛和偏头痛。8名黄体生成素患者主诉反复发作的中度至重度疼痛，在严格的单侧线状区域内肿胀、搏动或压力性疼痛。头痛持续时间为1小时至2天，或持续1至6个月，头痛反复恶化。对一些患者来说，这种头痛具有与偏头痛相似的几个特征，如伴有恶心、呕吐和畏音、头晕、噪音触发因素、明亮的夜晚、体力活动后休息、疲劳、月经和抗偏头痛治疗反应。这一描述强化了黄体生成素是一种新的头痛综合征或先前已知的头痛综合征的新变种的提议，可能是偏头痛。
Linear headache (LH) has recently been described as a paroxysmal or continuous fixed head pain restricted in a linear trajectory of 5–10 mm in width, linking one endpoint in occipital or occipitocervical region with another endpoint in ipsilateral nasion or forehead region. For some patients, this headache had some features resembling migraine without aura. We made a prospective search of patients presenting with a clinical picture comprised under the heading of LH and we have accessed eight new cases. A detailed clinical feature of the headache was obtained in all cases to differentiate with cranial neuralgia, paroxysmal hemicrania, cervicogenic headache, nummular headache and migraine. The eight LH patients complained of a recurrent moderate to severe, distending, pulsating, or pressure-like pain within a strictly unilateral line-shaped area. The headache duration would be ranged from 1 h to 2 days or persistent for 1–6 months with recurrent worsening of headaches. For some patients, this headache had couple of features similar to that of migraine pattern, such as accompaniments of nausea, vomiting, and phonophobia, diziness, triggering factors of noise, bright night, resting after physical activity, fatigue, menstruation, and response to anti-migraine therapy. This description reinforces the proposal of LH as a new headache syndrome or a new variant of a previously known headache syndrome, probably of migraine.