圆形头痛合并Ⅰ型Chiair畸形患者3例及文献分析  

Three cases of nummular headache with chiair typeⅠmalformation and literature analysis

作　　者：朱太卿[1] 张莉峰 袁学谦[1] 王国文 Zhu Taiqing;Zhang Lifeng;Yuan Xueqian;Wang Guowen(Department of Neurology,Zhengzhou People's Hospital,Zhengzhou 450052,China;Department of Neurosurgery, Zhengzhou People's Hospital, Zhengzhou 450052, China)

机构地区：[1]郑州人民医院神经内科2病区,河南郑州450052 [2]郑州人民医院神经外科,河南郑州450052

出　　处：《临床荟萃》2020年第6期552-554,共3页Clinical Focus

基　　金：河南省医学科技攻关计划项目RANKL/RANK通路介导拓扑替康抑制胶母细胞侵袭研究(2018020815)。

摘　　要：分析我科收治的3例圆形头痛(视频脑电图检查排除头痛型癫痫)患者合并Ⅰ型Chiair畸形的临床特征和治疗效果。3例患者,女性2例,男性1例。其中2例圆形头痛发作期出现咳嗽或Valsalva动作时头痛程度明显加重,另1例则咳嗽或Valsalva动作时头痛程度无变化。3例均未手术治疗,通过口服药物或联合疼痛区域神经阻滞治疗,头痛均完全缓解,目前随访均未复发。To analyze the clinical features and therapeutic effects of three patients(two females and one male)with nummular headache(Video EEG excluded headache epilepsy)combined with chiair type I malformation.Among the patients,two cases had increased headache when coughing or Valsalva maneuver occurred,while another patient had no changes in it.None of the three cases were treated with operation.And the headache was relieved completely by oral medication or combined with nerve block for pain region.At present,there was no recurrence in the follow-up.

关 键 词：圆形头痛 Ⅰ型Chiair畸形 药物治疗 神经阻滞 

分 类 号：R741.041[医药卫生—神经病学与精神病学]