BMJ Best Practice
最后审核时间： 七月 2019
最近更新时间： 四月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 长期头痛
  • 恶心
  • 机能下降
全部具体信息

其他诊断因素

  • 呕吐
  • 单侧耳鸣
  • 搏动感
全部具体信息

危险因素

  • 偏头痛的家族史
  • 咖啡因摄入量高
  • 暴露于大气压力变化
  • 女性
全部具体信息

诊断性检查

首要检查

  • 临床诊断
全部具体信息

需要考虑的检查

  • 红细胞沉降率 (ESR)
  • 腰椎穿刺术 (LP)
  • 脑脊液 (CSF) 培养
  • 头颅 CT
全部具体信息

治疗流程

推断

因持续性症状而被送往急诊科的偏头痛患者

急性

轻度-中度症状：未怀孕

严重症状：未怀孕

妊娠

疾病持续状态

频繁复发的严重/失能性症状：未怀孕

频繁复发的严重/失能性症状：已怀孕

贡献者

作者 查看所有

Associate Professor of Neurology

Chief

Headache Division

Department of Neurology

Duke University Medical Center

Durham

NC

利益冲突披露
TAC was an unpaid site PI for the Alder study ALD403-CLIN-011 (monoclonal Ab against CGRP as treatment for chronic migraine), which ended in July 2017. TAC served as a paid consultant for Eli Lilly Co. in November 2016. In 2017 he served as a paid consultant for Alphasights, a global healthcare consulting organization, regarding migraine headache diagnosis and treatment. He has provided expert testimony regarding headache disorders for a legal case in 2015, and expects to be paid to provide expert testimony on headache disorders in 2018 for a legal case relating to the diagnosis, treatment, and standard of care for headache disorders.

Dr Timothy Collins would like to gratefully acknowledge Dr Ann Donnelly, the previous contributor to this monograph. AD declares that she has no competing interests.

同行评议专家 查看所有

Professor

Family and Community Medicine

University of Kansas School of Medicine

Wichita

KS

利益冲突披露
AW declares that she has no competing interests.

Director

Walton Headache Center

Augusta

GA

利益冲突披露
MSH declares that he has no competing interests.

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