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头痛病人伴发短暂性肢体痛是一十分常见的现象,但这一现象尚未引起人们的重视。本文作者评价了头痛伴发肢体痛的频度与特征。共选择245例有头痛史的门诊病人,其中男60例,女185例,年龄为7—80(平均34.2±15.1)岁。按国际头痛协会分类委员会制定的标准分类,若头痛随时间而变化,就据最后一型而确定。除外无头痛的肢体痛和高血压、癫痫、糖尿病、神经根病或其它能引起肢体痛的疾患。所有病人神经系统检查正常,并进行了必要的检查如血液化验、胸透、CT、MRI、脑电图、肌电图等。 结果发现:185例女性头痛患者中,肌紧张性头痛65例,无先兆的偏头痛95例,有先兆的偏头痛23例,丛集性头痛和麻痹性头痛各1例。60例
Headache patients with transient limb pain is a very common phenomenon, but this phenomenon has not yet drawn the attention of people. The authors evaluated the frequency and characteristics of headache associated with limb pain. A total of 245 outpatients with a history of headache were selected, including 60 males and 185 females, with an age of 7-80 (average 34.2 ± 15.1 years). According to the classification standard set by the International Headache Association classification committee, if the headache changes with time, it is determined according to the final type. Except for headache-free body pain and hypertension, epilepsy, diabetes, radiculopathy or other conditions that can cause pain in the limbs. All patients with normal neurological examination, and conducted the necessary tests such as blood tests, chest X-ray, CT, MRI, EEG, EMG and so on. The results showed that among the 185 female headache patients, there were 65 cases of muscle tension headache, 95 cases of migraine without aura, 23 cases of migraine with aura, 1 case of cluster headache and paralytic headache respectively. 60 cases