Linear headache: a recurrent unilateral head pain circumscribed in a line-shaped area.
Linear headache: a recurrent unilateral head pain circumscribed in a line-shaped area.
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线性头痛：反复出现的单侧头痛，限制在线形区域
DOI：
10.1186/1129-2377-15-45
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发表时间：
2014-06-26
期刊：
影响因子：
--
通讯作者：
Pan QQ
中科院分区：
文献类型：
--
作者：
Wang Y;Tian MM;Wang XH;Zhu XQ;Liu Y;Lu YN;Pan QQ
研究背景短暂性头痛（Epicrania Fugax，EF）是一种局限于线状区域但不局限于某一特定神经的头痛。在2012年2月至2014年3月的25个月期间，我们遇到了12例局限于线性轨迹的阵发性静止性头痛患者。头痛轨迹与EF相似，但其他特征与EF明显不同。我们命名为这种独特的，但未描述类型的头痛线性头痛（LH）。MethodsA详细的临床特征的头痛，在所有情况下，以区分与EF，三叉神经自主性头痛（TAC）和颅神经痛。结果12例LH患者（平均年龄43.9 ± 12.2岁）均表现为反复发作的、中重度的、膨胀性（n = 9）、压迫性（n = 3）或搏动性（n = 3）疼痛，疼痛范围为严格的单侧线状区域。疼痛线分布于枕部或枕颈区至同侧眼5例、额部6例或顶部1例。痛线的形态与EF相似，但不具有移动的特征。头痛持续时间从5分钟到3天不等，但大多数病例（n = 8）通常为半天到1天。6例患者伴有恶心伴或不伴呕吐，2例患者伴有同侧头晕。发作可能是自发的（n = 10）或由噪音，抑郁和体力活动后休息（n = 1），或由压力和熬夜（n = 1）触发。攻击的频率是可变的。对氟桂利嗪、丙戊酸钠、阿米替林有较好疗效，对卡马西平、奥卡西平无明显疗效。LH与EF、三叉神经自主性头痛（TACs）和颅神经痛不同，但与偏头痛有相似之处。结论LH的临床表现可能是偏头痛的一个亚型，或代表一种新的综合征。
BackgroundA headache circumscribed in a line-shaped area but not confined to the territory of one particular nerve had ever been described in Epicrania Fugax (EF) of which the head pain is moving and ultrashort. In a 25-month period from Feb 2012 to Mar 2014, we encountered 12 patients with a paroxysmal motionless head pain restricted in a linear trajectory. The head pain trajectory was similar to that of EF, but its all other features obviously different from those of EF. We named this distinctive but undescribed type of headache linear headache (LH).MethodsA detailed clinical feature of the headache was obtained in all cases to differentiate with EF, trigeminal autonomic cephalalgias (TACs) and cranial neuralgia. Similarities and differences in clinical features were compared between LH and migraine.ResultsThe twelve LH patients (mean age 43.9 ± 12.2) complained of a recurrent, moderate to severe, distending (n = 9), pressure-like (n = 3) or pulsating (n = 3) pain within a strictly unilateral line-shaped area. The painful line is distributed from occipital or occipitocervical region to the ipsilateral eye (n = 5), forehead (n = 6) or parietal region (n = 1). The pain line has a trajecory similar to that of EF but no characteristics of moving. The headache duration would be ranged from five minutes to three days, but usually from half day to one day in most cases (n = 8). Six patients had the accompaniment of nausea with or without vomiting, and two patients had the accompaniment of ipsilateral dizziness. The attacks could be either spontaneous (n = 10) or triggered by noise, depression and resting after physical activity (n = 1), or by stress and staying up late (n = 1). The frequency of attacks was variable. The patients had well response to flunarizine, sodium valproate and amitriptyline but not to carbamazepine or oxcarbazepine. LH is different from EF, trigeminal autonomic cephalalgias (TACs) and cranial neuralgia, but it had couple of features similar to that of migraine.ConclusionsThe clinical picture of LH might be a subtype of migraine, or represent a novel syndrome.
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影响因子：
3.7
作者：
Murtaza M;Kisat M;Daniel H;Sonawalla AB
通讯作者：
Sonawalla AB
DOI：
10.1186/1129-2377-14-62
发表时间：
2013-07-23
期刊：
The journal of headache and pain
影响因子：
--
作者：
Costa C;Tozzi A;Rainero I;Cupini LM;Calabresi P;Ayata C;Sarchielli P
通讯作者：
Sarchielli P
影响因子：
4.9
作者：
Pareja, J. A.;Cuadrado, M. L.;Porta-Etessam, J.
通讯作者：
Porta-Etessam, J.
影响因子：
5
作者：
Guerrero, Angel L.;Cuadrado, Maria L.;Fernandez, Rosa
通讯作者：
Fernandez, Rosa
影响因子：
9.9
作者：
Silberstein, S.;Saper, J.;D'Souza, J.
通讯作者：
D'Souza, J.