脑干先兆性偏头痛伴一过性意识丧失的研究进展  

Recent advance in migraine with brainstem aura associated with transient loss of consciousness

作　　者：侯明凯 张道培 张怀亮 Hou Mingkai;Zhang Daopei;Zhang Huailiang(Department of Encephalopathy,First Afiliated Hospital of He'nan University of Chinese Medicine,Zhengzhou 450000,China;Henan Vertigo Disease Diagnosis and Treatment Center,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一附属医院脑病科,郑州450000 [2]河南省眩晕病诊疗中心,郑州450000

出　　处：《中华神经医学杂志》2024年第9期947-953,共7页Chinese Journal of Neuromedicine

基　　金：张怀亮全国名老中医药专家传承工作室建设项目(国中医药人教函[2018]134号);河南省中医药科学研究重大专项课题(2024ZYZD02);吴阶平医学基金(320.6750.18326)。

摘　　要：脑干先兆性偏头痛为先兆性偏头痛的亚型,病因多样,机制复杂,临床上与一过性意识丧失常共病发作,严重影响患者的社会生活能力。目前脑干先兆性偏头痛与一过性意识丧失之间的关系尚未阐明,同时一过性意识丧失和晕厥两者之间症状相似,极易混淆。为深入探究脑干先兆性偏头痛与一过性意识丧失之间的复杂关系,本文主要对脑干先兆性偏头痛与一过性意识丧失的临床关联、发病机制以及鉴别诊断等方面的研究进展进行综述,旨在进一步优化临床诊疗策略,为探究综合诊疗措施提供新思路。Migraine with brainstem aura is one of the subtype of migraine with aura,with varied etiology and complex mechanism.Migraine with brainstem aura and transient loss of consciousness(TLOC)often occur together clinically,seriously affect the social life of the patients.At present,relation between migraine with brainstem aura and TLOC has not been elucidated,and clinical manifestations between TLOC and syncope is similar and easily confused by physicians.In order to deeply explore the complex relations between migraine with brainstem aura and TLOC,this article summarizes the clinical association,pathogenesis and differential diagnosis of migraine with brainstem aura associated with TLOC,so as to further optimize the clinical diagnosis strategies and provide new ideas for exploring comprehensive treatment measures for migraine with brainstem aura associated with TLOC.

关 键 词：脑干先兆性偏头痛 一过性意识丧失 晕厥 

分 类 号：R747.2[医药卫生—神经病学与精神病学]