偏头痛诊断治疗ppt课件

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1、1偏头痛诊断与治疗DiagnosisandManagementofMigraine2偏头痛分类与诊断3头痛分类历史第一版发表于Cephalalgia,1988;8(Suppl7):1-96大部分内容是基于专家意见而非已发表的文献;预期５年后修订4头痛分类历史Revisionprocessbeguninlate1999,completed2003.Cephalalgia2004;24(Suppl1):1-160Furtherminorrevisiontosection8.2in2005.Cephalalgia2005;25:460-465Ce

2、phalalgia2004;24Suppl1:1-160);Cephalalgia2005;25:460-4655头痛分类历史历时3年完成TheInternationalClassificationofHeadacheDisorders3rdedition(betaversion)Cephalalgia2013,33(9)629–808Cephalalgia2004;24Suppl1:1-160);Cephalalgia2005;25:460-465Cephalalgia2013,33(9)629–8086ClassificationPar

3、t1:PrimaryheadachedisordersPart2:SecondaryheadachedisordersPart3:Cranialneuralgias,centralandprimaryfacialpainandotherheadachesPart1:PrimaryheadachedisordersPart2:SecondaryheadachedisordersPart3:Painfulcranialneuropathies,otherfacialpainsandotherheadachesCephalalgia2004;24

4、Suppl1:1-160);Cephalalgia2005;25:460-465Cephalalgia2013,33(9)629–8087ClassificationPart1:Theprimaryheadaches1.Migraine2.Tension-typeheadache3.Clusterheadacheandothertrigeminalautonomiccephalalgias4.OtherprimaryheadachesPart1:Theprimaryheadaches1.Migraine2.Tension-typeheada

5、che3.Trigeminalautonomiccephalalgias4.OtherprimaryheadachesCephalalgia2004;24Suppl1:1-160);Cephalalgia2005;25:460-465Cephalalgia2013,33(9)629–8088Migraine1.1Migrainewithoutaura1.2Migrainewithaura1.3Childhoodperiodicsyndromesthatarecommonlyprecursorsofmigraine1.4Retinalmigr

6、aine1.5Complicationsofmigraine1.6Probablemigraine1.1Migrainewithoutaura1.2Migrainewithaura1.3Chronicmigraine1.4Complicationsofmigraine1.5Probablemigraine1.6EpisodicsyndromesthatmaybeassociatedwithmigraineCephalalgia2004;24Suppl1:1-160);Cephalalgia2005;25:460-465Cephalalgia

7、2013,33(9)629–8089无先兆偏头痛诊断标准：A.至少5次发作符合标准B-DB.头痛发作持续4~72小时（未治疗或治疗不成功）C.头痛至少具备以下特点中的2条：1.单侧2.搏动性3.疼痛程度为中度或重度4.日常体力活动可以加剧或造成避免体力活动（如散步或爬楼梯）D.在头痛期间至少具备以下中的一条：1.恶心和/或呕吐2.畏光和畏声E.NotbetteraccountedforbyanotherICHD-3Diagnosis（不归因于其它疾患）10Migrainewithoutaura111.2Migrainewithaura1.2

8、Migrainewithaura1.2.1Typicalaurawithmigraineheadache1.2.2Typicalaurawithnon-migraineheada