偏头痛诊断的现代方法

T. V. Sorokovikova, A. M. Morozov, A. N. Kryukova, S. A. Naumova
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引用次数: 0

摘要

头痛是目前最常见的神经系统疾病之一,偏头痛等类型的头痛严重降低了人们的生活质量和工作能力,影响了国家的医疗保健、经济和社会领域。一个称职的方法来诊断偏头痛实施进一步及时的治疗和预防措施。为了综合诊断,有必要采用国际标准和标准,本文对此进行了解释。值得注意的是,偏头痛可能被误认为其他条件和头痛综合征具有类似的临床表现。医生的注意力首先应该集中在临床研究上,根据临床研究的结果,已经有可能做出诊断。神经影像学方法不应常规应用于所有患者,但只有当有指征。在文献分析的基础上,我们确定了有先兆和无先兆偏头痛、慢性偏头痛的关键体征,并提供了与其他病理鉴别诊断所必需的信息。
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A modern approach to migraine diagnosis
Headache is currently one of the most common disorders of the nervous system, and such type of headache as migraine significantly reduces the quality of life and working capacity of the population, which affects healthcare, economy, and social sphere of the country. A competent approach to the diagnosis of migraine implements further timely therapeutic and preventive measures. For an integrated approach to diagnosis, it is necessary to resort to international standards and criteria, which are explained in this review. It is important to note that migraine can be mistaken for other conditions and cephalgic syndromes with similar clinical manifestations. The doctor's attention should first of all be aimed at a clinical study, according to the results of which it is already possible to make a diagnosis. Neuroimaging methods should not be used routinely in all patients, but only if there are indications. Based on the analysis of the literature, we have identified the key signs of migraine with and without aura, chronic migraine, as well as provided the information necessary for differential diagnosis with other pathologies.
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