Migraine and headache due to weather and allied causes and its specific treatment.

F G Sulman
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Abstract

Attacks of migraine resulting from climatic cold or heat-stress are a common occurrence in 20-30 per cent of a population exposed to weather changes. The electrical charges (positive ionisation and sferics) engendered by every incoming weather front produce a release of serotonin. In addition there also exists a syndrome of adrenaline deficiency, which may produce headache, while a third reaction, intermittent hyperthyreosis, plays a lesser role in evoking headache. The differential diagnosis of the various types of headache is based upon the profile of neurohormones excreted in the 24-hours urinary output, which permits a comparison between normal and weather-stress days. Such a procedure may provide an appraisal of the underlying metabolic disturbance. Consequently, appropriate treatment can be administered to the patient, and its effect controlled by analysis of any possible neurohormonal change.

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偏头痛和头痛由于天气和相关原因及其具体治疗。
由于气候寒冷或热应激引起的偏头痛发作在20- 30%的暴露于天气变化的人口中很常见。每一个进入的天气锋面所产生的电荷(正离子和电荷)都会产生血清素的释放。此外,还存在肾上腺素缺乏综合征,这可能导致头痛,而第三种反应,间歇性甲状腺功能亢进,在引起头痛方面的作用较小。不同类型头痛的鉴别诊断是基于24小时尿量中排泄的神经激素的概况,这允许在正常和天气紧张的日子之间进行比较。这样的程序可以提供对潜在代谢紊乱的评估。因此,可以对患者进行适当的治疗,并通过分析任何可能的神经激素变化来控制其效果。
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