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难治性慢性偏头痛伴颅内静脉窦狭窄患者颅内压监测分析 被引量:4

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摘要 目的探讨难治性慢性偏头痛合并颅内静脉窦狭窄时的颅内压状况及腰穿放液治疗的可行性。方法 2010-07—2014-10收治的符合难治性偏头痛且合并颅内静脉窦狭窄患者18例,行腰穿放液,评估腰穿后观察指标。结果每月头痛持续的时间减少与基线相比,差异均有统计学意义(P<0.000 1),但第4月与第2、3月相比无显著差异(P>0.05)。难忍的头痛每月持续时间与基线相比,差异均有统计学意义(P<0.000 1),且第4月与第2、3月相比均有显著差异(P<0.01)。多因素回归分析未发现显著相关的术前变量。结论多数诊断为难治性慢性偏头痛的患者合并颅内压增高症,腰穿适当放脑脊液可获得较长时间的症状缓解。表现为每日头痛同时伴静脉窦狭窄,且对药物反应不佳的患者,应高度怀疑是否为不伴视乳头水肿的特发性颅内压增高症。
出处 《中国实用神经疾病杂志》 2016年第3期33-35,共3页 Chinese Journal of Practical Nervous Diseases
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  • 1De Simone R, Ranieri A, Fiorillo C, et al. Is idiopathic intracra- nial hypertension without papilledema a risk factor for mi- graine progression? [J]. Neurol Sci,2010,31(4) :411-415.
  • 2Vieira DS, Masruha MR, Goncalves AL, et al. Idiopathic in- tracranial hypertension with and without papilloedema in a consecutive series of patients with chronic migraine[J]. Ceph- alalgia,2008,28(6) :609-613.
  • 3Biousse V,Bruce BB,Newman NJ. Update on the pathophysi ology and management of idiopathic intracranial hypertension[J]. J Neurol Neurosurg Psychiatry,2012,83(5):488-494.
  • 4Olesen J, Bousser MG, Diener HC, et al. New appendix criteria open for a broader concept of chronic migraine[J]. Cephalalgi- a,2006,26(6) :742-746.
  • 5Digre KB, Nakamoto BK, Warner JE, et al. A comparison of idiopathic intracranial hypertension with and without papillede ma[J]. Headache,2009,49(2) :185-193.
  • 6Bono F, Cristiano D, Mastrandrea C, et al. The upper limit of normal CSF opening pressure is related to bilateral transverse sinus stenosis in headache sufferers[J]. Cephalalgia, 2010,30 (2):145 151.
  • 7Olesen J. International Classification of Headache Disorders, Second Edition (ICHD-2) : current status and future revisions [J]. Cephalalgia,2006,26(12):1 409-1 410.
  • 8Bono F, Salvino D, Tallarico T, et al. Abnormal pressure waves in headache sufferers with bilateral transverse sinus ste- nosis[J]. Cephalalgia,2010,30(12):1 419-1 425.
  • 9Ekizoglu E,Baykan B,Orhan EK, et al. The analysis of allo dynia in patients with idiopathic intracranial hypertension[J]. Cephalalgia,2012,32(14) :1 049-1 058.

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