中国卒中杂志2018，Vol.13Issue(3)：220-225,6.DOI:10.3969/j.issn.1673-5765.2018.03.005
头痛与非外伤性皮质凸面蛛网膜下腔出血
Headache and Nontraumatic Convexity Subarachnoid Hemorrhage
赵海燕 1张晖 1鲁明1
作者信息
- 1. 100191 北京 北京大学第三医院神经内科
- 折叠
摘要
Abstract
Objective To analyze the characteristics of headache and the possible cause of convexity subarachnoid hemorrhage (cSAH), so as to increase the understanding of cSAH. Methods A total of 14 cases of cSAH who came to Peking University third hospital between January 2010 and December 2014 were enrolled. Retrospective review was made upon the characteristics of headache, clinical manifestations, clinical medical records, and neuroimaging studies. Results Among 14 patients, acute headache (n=8, 57.1%) was the most common clinical manifestations, including 6 cases (75%) for unilateral. And 4 cases (50%) had a transient headache, usually lasting no longer than half an hour. There were 12 cases (85.7%) with clear etiology; there were 8 cases (57.1%) with severe stenosis or occlusion in ipsilateral internal carotid artery system of cSAH; and there were 4 cases: one with intracranial venous sinus thrombosis, one with cerebral arteriovenous malformation, one using anticoagulant and one with suspected cerebral amyloid vascular degeneration, respectively. Conclusion In the present study, acute headache was the most common clinical manifestation of cSAH. The patients with transient headache or with mild to moderate headache should be aware of the possibility of cSAH. Severe atherosclerotic stenosis or occlusion in the main branch of ipsilateral internal carotid artery system was an important cause of cSAH.关键词
皮质凸面蛛网膜下腔出血/头痛/急性/脑动脉狭窄Key words
Convexity subarachnoid hemorrhage/Headache/Acute/Cerebral artery stenosis引用本文复制引用
赵海燕,张晖,鲁明..头痛与非外伤性皮质凸面蛛网膜下腔出血[J].中国卒中杂志,2018,13(3):220-225,6.
