无自主性症状的丛集性头痛与有自主性症状的丛集性头痛有何不同  

Cluster headache without autonomic symptoms: Why is it different?

作　　者：Martins I.P. Gouveia R.G. Parreira E. 袁海峰 

机构地区：[1]Centro de Estudos Egas Moniz, Lisbon Faculty of Medicine, Hospital de Santa Maria, 1600 Lisboa, Portugal Dr.

出　　处：《世界核心医学期刊文摘（神经病学分册）》2005年第8期35-35,共1页Digest of the World Core Medical Journals:Clinical Neurology

摘　　要：Background. -Some patients with otherwise typical clusterheadache (CH) have p ersistent attacks free of cranial autonomic symptoms (CAS). The factors responsi ble for this atypical presentation are not known. Objectives. To identify factor s associated to the absence of CAS in patients with CH.Methods.A prospective ser ies of 157 patients with the diagnosis of CH was analyzed, comparing 148 typical CH patients with 9 CH patients without CAS. Results. Patients without CAS repor ted significantly less intense attacks (P=.003) when compared to those with CAS. There was also a tendency (not reaching statistical significance) for a higher frequency of females and chronic CH among those without CAS. Otherwise, there we reno differences between the two groups (in age, durati on of illness, follow-u p time, attack duration or frequency, nor side or site of pain). A logistic regr ession analysis showed that only pain intensity could explain the difference bet ween the two groups, since the other explanatory variables were also associated with different intensity of attacks. Conclusions. These results support the hypo thesis that CH without cranial autonomic symptoms represents a milder form of CH .Background. -Some patients with otherwise typical clusterheadache (CH) have p ersistent attacks free of cranial autonomic symptoms (CAS). The factors responsi ble for this atypical presentation are not known. Objectives. To identify factor s associated to the absence of CAS in patients with CH.Methods.A prospective ser ies of 157 patients with the diagnosis of CH was analyzed, comparing 148 typical CH patients with 9 CH patients without CAS. Results. Patients without CAS repor ted significantly less intense attacks (P=.003) when compared to those with CAS. There was also a tendency (not reaching statistical significance) for a higher frequency of females and chronic CH among those without CAS. Otherwise, there we reno differences between the two groups (in age, durati on of illness, follow-u p time, attack duration or frequency, nor side or site of pain). A logistic regr ession analysis showed that only pain intensity could explain the difference bet ween the two groups, since the other explanatory variables were also associated with different intensity of attacks. Conclusions. These results support the hypo thesis that CH without cranial autonomic symptoms represents a milder form of CH .

关 键 词：丛集性头痛 发作持续时间 疼痛强度 慢性患者 试验结果 无偏 

分 类 号：R741[医药卫生—神经病学与精神病学]