脑血管意外并枕大神经痛诊疗一例体会

The blood vessel of brain accident and pillow big neuralgia diagnose and treat example experience

枕大神经痛为后枕部阵发性或持续性疼痛,也可在持续痛基础上阵发性加剧.常因风寒、感冒引起,也可因颈部外伤、增生性颈椎病等颈椎病变所致.临床表现为一侧或两侧后枕部或兼含项部的针刺样、刀割样或烧灼样疼痛.此患者血压高引起头昏、头晕入院,入院后一天出现头痛,多考虑脑血管意外,但经头颅CT及腰穿可排外,结合患者曾患感冒,故此患者诊断明确,治疗有效.临床上头痛原因很多,所以我们临床医生要熟练掌握常见多发病的诊疗,也要熟悉少见疾病,避免漏诊.

Pillow big neuralgia for after occiput paroxysmal or long--enduring ache,also may in continue in the pain foundation the paroxysmal aggravating. Because often cold, cold cause, because also may the pate flesh wound, the proliferative cervical vertebra get sick and so on the cervical vertebra pathological change results. The clinical manifestation after one side either the both sides the oeeiput or concurrently including the acupuncture type,the knife shears the type or the cauterization type ache. This patient blood pressure causes dizzy, dizziness in hospital high, is hospitalized latter day to have the headache, considers the blood vessel of brain ac- cident,but puts on after head CT and the waist may the antiforeign, unified the patient once to contract cold, therefore the patient di- agnosed is clear about, the treatment was effective. On the clinical headache reason are very many, therefore our clinician must grasp the common frequently--occurring disease skilled diagnosing and treating,also must be familiar with the rare disease,avoids leaking examines.