头皮闪痛病人临床特征分析  

Clinical features of patients with epicrania fugax

作　　者：周婉茹 王皓缘 秦璐 王贺波 ZHOU Wan-ru;WANG Hao-yuan;QIN Lu;WANG He-bo(Hebei North University Graduate School,Zhangjiakou 075000,China;Department of Neurology,Hebei General Hospital,Shijiazhuang 050051,China;Department of Neurology,Beijing Tiantan Hospital,Capital Medical University,Beijing 100070,China;Hebei Provincial Key Laboratory of Cerebral Networks and Cognitive Disorders,Shijiazhuang 050051,China)

机构地区：[1]河北北方学院研究生学院,张家口075000 [2]河北省人民医院神经内科,石家庄050051 [3]首都医科大学附属北京天坛医院神经病学中心,北京100070 [4]河北省脑网络与认知障碍疾病重点实验室,石家庄050051

出　　处：《中国疼痛医学杂志》2025年第3期202-207,共6页Chinese Journal of Pain Medicine

摘　　要：头皮闪痛(epicrania fugax,EF)于2008年首次提出。EF特征性表现为起自颅外的、短暂性针刺样疼痛发作,沿着线性或Z字形轨迹,闪电样跨越不同的神经分布区,多伴有自主神经症状。目前EF的病因及发病机制尚不清楚,且病例报道及相关研究尚少,易与其他头痛和神经痛混淆。本文对目前报道的84例EF病例的临床特征进行总结分析,并对研究简史、诊断标准、鉴别诊断、治疗措施等进行综述,以提高临床医师对该病的认识和诊治水平。Epicrania Fugax(EF)was first proposed by Pareja et al in 2008.EF is characterized by brief,paroxysmal head pain with stabbing quality,extracranial in origin,following a linear or Z-shaped trajectory,and often lightning-like in nature,spreading across the distribution of different nerves,it is often accompanied by autonomic symptoms.The etiology and pathogenesis of EF are still unclear,and due to the limited number of reported cases and related studies,it is easily confused with other types of headaches and neuropathic pain.This article summarizes and analyzes the clinical characteristics of 84 cases of EF reported so far,and summarizes the research history,diagnostic criteria,differential diagnosis,and treatment measures,with the aim of enhancing clinicians'understanding,diagnosis,and treatment of the disease.

关 键 词：头皮闪痛 闪电样 原发性头痛 诊断 治疗 

分 类 号：R741[医药卫生—神经病学与精神病学]