Primary headaches and painful spontaneous cervical artery dissection

被引：23

作者：

Campos, Cynthia R.

Calderaro, Marcelo

Scaff, Milberto

Conforto, Adriana B.

机构：

[1] University of Calgary, Foothills Medical Centre, Calgary, AB T2N 2T9

[2] Department of Clinical Neurosciences, Foothills Medical Centre, University of Calgary, Calgary, AB T2N 2T9

[3] Division of Neurology, Hospital of Clinics of the University of São Paulo, São Paulo

来源：

JOURNAL OF HEADACHE AND PAIN | 2007年 / 8卷 / 03期

关键词：

artery dissection; carotid; vertebral artery; primary headaches; migraine; stroke;

D O I：

10.1007/s10194-007-0387-6

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The relation between primary headaches (PH) and pain related to spontaneous cervical artery dissection (SCAD) is still unclear, as well as the progress of PH after dissection. To investigate this relation, the characteristics of pain related to SCAD and changes in PH patterns after SCAD, we evaluated 54 consecutive patients. Thirty-five (65%) had previous PH. Painful SCAD occurred in 39 (72%). Frontal and parietal localizations were significantly associated with internal carotid artery dissection (p=0.013 and p=0.010, respectively), whereas occipital and nuchal pain, with vertebral artery dissection (p=0.047 and p < 0.001, respectively). Previous PH did not influence the presence of pain at SCAD onset. Twenty-six (74%) patients with PH reported improvement in PH pattern after a mean follow-up of 32 months. These results suggest that mechanisms underlying PH do not modulate dissection-related pain. Disruption of perivascular afferents may be involved in improvement of PH patterns after SCAD.

引用

页码：180 / 184

页数：5

共 18 条

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