短暂性单侧神经痛样头痛的研究进展

Research progress of short-lasting unilateral neuralgiform headache attacks

短暂性单侧神经痛样头痛是一种罕见的原发性头痛类型,发作时通常伴有同侧结膜充血和(或)流泪等自主神经症状,且一般呈慢性病程,大多数患者因得不到有效诊治而反复求医,给患者带来极大的痛苦,并严重影响其生活质量。目前,在临床工作中,短暂性单侧神经痛样头痛并没有得到足够的认识,由于罕见,国内关于短暂性单侧神经痛样头痛的相关研究较少,因此亟须提高临床医师对其的认识与诊疗水平,降低误诊率。文章就短暂性单侧神经痛样头痛的流行病学、病理生理学机制、临床特征、诊疗等方面的研究进展进行综述,旨在为临床医师提供较为全面的参考,从而提高有效诊治率,帮助患者尽早摆脱病痛,提高生活质量。同时,也呼吁国内外研究者加大对短暂性单侧神经痛样头痛的研究力度,为临床治疗提供更多理论依据。

Short-lasting unilateral neuralgiform headache attacks is a rare type of primary headache,which is usually accompanied by ipsilateral conjunctival congestion and(or)lacrimation and other autonomic symptoms during episodes,and generally presents a chronic course.Most patients repeatedly seek medical attention due to ineffective diagnosis and treatment,causing great suffering and severely affecting their quality of life.Currently,in clinical practice,short-lasting unilateral neuralgiform headache attacks has not been sufficiently recognized.Due to its rarity,there is a lack of related research in China,hence there is an urgent need to improve clinicians’awareness and diagnostic and treatment level to reduce the rate of misdiagnosis.This article reviews the research progress in the epidemiology,pathophysiological mechanisms,clinical characteristics,diagnosis and treatment of shortlasting unilateral neuralgiform headache attacks,aiming to provide a more comprehensive reference for clinicians,thereby improving the effective diagnosis and treatment rate,helping patients to get rid of pain as soon as possible,and improving the quality of life.At the same time,it also calls for researchers at home and abroad to increase their research efforts on short-lasting unilateral neuralgiform headache attacks to provide more theoretical basis for clinical treatment.