BMJ Best Practice
最后审核时间： 六月 2019
最近更新时间： 三月 2019

小结

定义

病史和查体

关键诊断因素

  • 存在的危险因素
  • 单侧疼痛反复发作
  • 剧痛
  • 流泪、流涕和局部霍纳氏综合征
全部具体信息

危险因素

  • 男性
  • 家族史
  • 头部损伤
  • 吸烟
全部具体信息

诊断性检查

首要检查

  • 脑部CT扫描或核磁共振成像
  • 红细胞沉降率
  • 垂体功能检查
全部具体信息

需要考虑的检查

  • 多导睡眠监测
  • 心电图 (ECG)
全部具体信息

治疗流程

急性

急性发作：无心血管疾病或未控制的高血压

急性发作：有心血管疾病或未控制的高血压

疾病持续状态

复发性/慢性丛集性头痛

贡献者

作者 查看所有

Clinical Research Fellow

Headache Group

National Hospital for Neurology and Neurosurgery

London

UK

利益冲突披露
SM declares that she has received an educational grant from St Jude Medical and Medtronic. SM has received payment for educational presentations from Allergan and Autonomic Technologies, Inc.

Consultant Neurologist

Southern General Hospital

Glasgow

UK

利益冲突披露
AT has been on advisory boards for Allergan and electroCore. AT has received organisational payments from eNeura, Allergan, and electroCore.

Senior Lecturer and Honorary Consultant Neurologist

Headache Group

National Hospital for Neurology and Neurosurgery

London

UK

利益冲突披露
MSM serves on the advisory board for Allergan and electroCore. MSM has received research grant funding from Allergan, and he has received hospitality payments from Allergan, eNeura, and electroCore.

Dr Sarah Miller, Dr Alok Tyagi, and Dr Manjit S. Matharu would like to gratefully acknowledge the assistance of Dr Marc S. Husid and Dr Davis L. Mellick. MSH and DLM declare that they have no competing interests.

同行评议专家 查看所有

Director of Headache and Pain Medicine

Professor of Neurology, Anesthesiology, and Rehabilitation Medicine

Icahn School of Medicine at Mount Sinai

New York

NY

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

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.

Department Head

Department of Neurology and Pain Medicine

Konventhospital Barmherzige Brüder Linz

Linz

Austria

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

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