偏头痛与脑白质病变的关系探讨

Exploration on migraine and leukoencephalopathy

目的观察分析偏头痛与脑白质病变之间的关系。方法回顾性分析过去5年来我院52例头颅MRI显示有脑白质病变的偏头痛患者的临床资料。结果偏头痛52例中发现病灶101处,多部位(2个以上)改变者11例(21%),2个部位改变者23例(44%),多见于具有先兆偏头痛及头痛发作频繁和持续时间较长者;病灶两侧对称性改变者6例(11.5%)。结论对部分偏头痛病人进行影像学检查是必要的,对合并脑白质病变的偏头痛应重视预防性治疗。

Objective： To explore the relationship between migraine and leukoencephalopathy. Methods： The clinical data of 52 migraine eases with abnormalities of white matter of brain confirmed by MRI were analyzed retrospectively. Results ： A total of 101 lesions were found in 52 cases, multiple lesion （ more than 2） changes in 11 cases （ 21% ）, 2 lesion changes in 23 cases （ 44% ） and lesions bilaterally symmetrical changes in 6 cases （ 11.5% ）. These changes were found more common in migraine with aura and headache frequency and duration of the eider. Conclusion： It is necessary for patients to have radiological examination, and more attention should be paid to preventive treatment for patients complicated with cerebral white matter lesions .