头皮闪痛患者临床特征分析

Clinical features of patients with Epicrania Fugax

摘要:

头皮闪痛(Epicrania Fugax, EF)于2008年Pareja等首次提出。EF特征性表现为起自颅外的、短暂性针刺样疼痛发作，沿着线性或Z字形轨迹，闪电样跨越不同的神经分布区，多伴有自主神经症状。目前EF的病因及发病机制尚不清楚，且病例报道及相关研究尚少，易与其他头痛和神经痛混淆。本文对目前报道的84例EF病例的临床特征进行总结分析，并对研究简史、诊断标准、鉴别诊断、治疗措施等进行综述，以提高临床医师对该病的认识和诊治。

Abstract:

Epicrania Fugax (EF) was first proposed by Pareja et al in 2008. EF is characterized by brief paroxysmal head pain, with stabbing quality, extracranial in origin, along a linear or Z-shaped trajectory, lightning-like across the distribution of different nerves, often accompanied by autonomic symptoms. The etiology and pathogenesis of EF are still unclear, and there are few reported cases and related studies, making it easy to confuse with other types of headaches and neuropathic pain. This article summarizes and analyzes the clinical characteristics of 84 cases with EF reported and reviews the research history, diagnostic criteria, differential diagnosis, and treatment measures，in order to improve the understanding, diagnosis and treatment of the disease among clinicians.