EXTRA-CRANIAL VASCULAR CHANGES AND THE SOURCE OF PAIN IN MIGRAINE HEADACHE
EXTRA-CRANIAL VASCULAR CHANGES AND THE SOURCE OF PAIN IN MIGRAINE HEADACHE
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DOI：
10.1002/ana.410130108
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发表时间：
1983-01-01
影响因子：
11.2
通讯作者：
LANCE, JW
中科院分区：
文献类型：
--
作者：
DRUMMOND, PD;LANCE, JW
通过记录颞浅动脉及其主要额支的脉动幅度、面部热成像以及颞动脉或颈动脉受压时头痛强度的变化，评估了 66 名偏头痛患者在单侧头痛期间的颅外循环。头痛侧和无头痛侧之间颞浅动脉的搏动幅度没有差异，但头痛侧额支的幅度增加，特别是在头痛缓解的亚组患者中。压迫颞浅动脉（“颅外血管”组）。面部热像图显示，偏头痛患者和对照组之间太阳穴和眼眶的热量损失存在显着差异，颅外血管群的额颞叶变化更为明显。结论是，颞浅动脉及其分支的扩张仅在少数患者中导致偏头痛。
The extracranial circulation of 66 migrainous patients was assessed during unilateral headache by recording the pulse amplitude of the superficial temporal artery and its main frontal branch, by facial thermography, and by changes in the intensity of headache when temporal or carotid arteries were compressed.Amplitude of pulsation of the superficial temporal artery did not differ between headache and headache‐free sides but the amplitude of its frontal branch was increased on the headache side, specifically in a subgroup of patients whose headache was relieved by compressing the superficial temporal artery (“extracranial vascular” group). Facial thermograms demonstrated significant differences in heat loss from the temples and orbits between migrainous patients and controls, frontotemporal changes being more conspicuous in the extracranial vascular group. It was concluded that dilatation of the superficial temporal artery and its branches contributes substantially to migraine headache in only a minority of patients.