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文摘
窦性头痛是常见的诊断,患者头痛常常引用鼻窦疼痛和压力引起的头痛。高频率的窦性头痛的诊断,专家认为是相对少见,患者会议国际头痛协会(IHS)诊断标准对偏头痛引起偏头痛的可能性,也许其他头痛类型有时被误认为是窦性头痛。本文认为临床、流行病学和病理生理的窦性头痛和偏头痛和之间的关系探讨了影响头痛的临床管理。历史和新数据显示,鼻腔症状经常伴随偏头痛,尽管这些症状并不IHS偏头痛诊断标准的一部分。副交感神经的激活,以及神经源性或免疫原性的假设机制转换(即。,crossover interactions of neurogenic and immunogenic inflammation), may account for both the frequent occurrence of nasal symptoms in migraine and the possibility that sinus inflammation can sometimes act as a migraine trigger. Considered in aggregate, the data show that the occurrence of nasal symptoms associated with a headache should neither trigger a diagnosis of sinus disease nor exclude a diagnosis of migraine. It should, in fact, prompt diagnostic consideration of both conditions.
