发作性偏侧头痛八例临床分析  

Paroxysmal hemicrania： clinical analysis of 8 cases

作　　者：朱凯云 黄焰[2] 陈晖 

机构地区：[1]广东三九脑科医院神经内科,广州510510 [2]广东省第二人民医院神经内科

出　　处：《中华神经科杂志》2008年第6期397-399,共3页Chinese Journal of Neurology

摘　　要：目的分析发作性偏侧头痛的临床特点，提高对发作性偏侧头痛的认识和治疗效果。方法分析我院2005年4月至2007年11月诊治的8例发作性偏侧头痛的临床表现及治疗结果，并结合文献进行总结。结果8例病例中男性3例，女性5例，发病年龄9—60岁。全部病例中7例使用吲哚美辛口服治疗，5例头痛发作完全停止，1例发作次数减少，疼痛程度减轻，1例因较严重的消化道不良反应而改用维拉帕米和泼尼松口服治疗，发作次数减少，疼痛程度减轻；另1例则使用了盐酸替扎尼定、布洛芬、阿米替林治疗，头痛发作停止。结论应提高对发作性偏侧头痛的认识，首选吲哚美辛治疗，如果因药物副作用或其他原因不能使用吲哚美辛，则可试用其他用于丛集性头痛治疗的药物或非甾体类抗炎止痛药。Objective To clinically analyze the feature of paroxysmal hemicrania in order to improve our cognition toward it. Methods Eight patients, 3 men, 5 women, aging 17 to 74 years old, were prospectively analyzed over the past 2 years in our hospital. Results Their age of onset was from 9 to 60 years old （ mean 42.5 ±16.3 ）. Seven of the 8 cases were treated with indomethacin, out of whom 5 got an immediate and complete response and one of them remitted partially. Another stopped taking indomethacin because of gastroenteric side effects. She was treated with verapamil and prednisone and partial relief was gained. Conclusions Paroxysmal hemicranial is a rare benign disorder, which needs our improved understanding. The patient who is diagnosed with paroxysmal hemicranial should firstly receive indomethacin, and standard anti-cluster headache medications or other non-steroid anti-inflammatory drugs is used if she/he can not get relief and （or） tolerate the adverse effects.

关 键 词：血管性头痛 诊断 吲哚美辛 镇痛药 非麻醉 

分 类 号：R686[医药卫生—骨科学]