临床荟萃

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圆形头痛合并Ⅰ型Chiair畸形患者3例及文献分析

  

  1. 郑州人民医院  a.神经内科2病区;b.神经外科,河南 郑州 450052
  • 出版日期:2020-06-20 发布日期:2020-05-18
  • 通讯作者: 袁学谦,Email:shizhu198511@163.com
  • 基金资助:
    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)

Three cases of nummular headache with chiair type Ⅰ malformation and literature analysis

  1. a. Department of Neurology; b.Department of Neurosurgery,   Zhengzhou People's Hospital,   Zhengzhou 450052,   China
  • Online:2020-06-20 Published:2020-05-18
  • Contact: Corresponding author: Yuan Xueqian, Email:shizhu198511@163.com

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。

关键词: 圆形头痛, Ⅰ型Chiair畸形, 药物治疗, 神经阻滞

Abstract: 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.

Key words: nummular headache, chiair type Ⅰ malformation, drug treatment, nerve block