Investigation of the cerebral response to flicker stimulation in patients with headache.

P Chorlton, N Kane
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引用次数: 25

Abstract

Migraine affects 10% of the population, yet there is no proven diagnostic test. To date the most promising neurophysiological diagnostic technique has been the analysis of cerebral responses to photic stimulation or flicker (the "H" response). This test has proved to be sensitive in patients with "classic" migraine, but has not been re-evaluated since the introduction of the 1988 International Headache Society (IHS) classification system. In 33 migraineurs, we found that the "H" response was sensitive (86.4%) and specific (97.5%) in those with migraine defined according to IHS Committee as type 1.2.1 (typical aura) and type 1.1 (without aura), but not in basilar migraine (1.2.4).

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头痛患者大脑对闪烁刺激反应的研究。
偏头痛影响了10%的人口,但目前还没有经过证实的诊断测试。迄今为止,最有前途的神经生理学诊断技术是分析大脑对光刺激或闪烁的反应(“H”反应)。该测试已被证明对“典型”偏头痛患者敏感,但自1988年国际头痛学会(IHS)分类系统引入以来,尚未重新评估。在33例偏头痛患者中,我们发现根据IHS委员会定义为1.2.1型(典型先兆)和1.1型(无先兆)的偏头痛患者的“H”反应是敏感的(86.4%)和特异性的(97.5%),但在基底型偏头痛中没有(1.2.4)。
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