| 词条 | Acephalgic migraine |
| 释义 |
Symptoms and misdiagnosisAcephalgic migraines can occur in individuals of any age.[5] Some individuals, more commonly male, only experience acephalgic migraine, but frequently patients also experience migraine with headache.[6] Generally, the condition is more than twice as likely to occur in females than males.[7] Pediatric acephalgic migraines are listed along with other childhood periodic syndromes by W.A. Al-Twaijri and M.I. Shevell as "migraine equivalents" (although not listed as such in the International Classification of Headache Disorders), which can be good predictors of the future development of typical migraines.[8][9] Individuals who experience acephalgic migraines in childhood are highly likely to develop typical migraines as they grow older.[10] Among women, incidents of acephalgic migraine increase during perimenopause.[7] Scintillating scotoma is the most common symptom[11] which usually happens concurrently with Expanding Fortification Spectra.[12] Also frequently reported is monocular blindness.[13] Acephalgic migraines typically do not persist more than a few hours and may last for as little as 15 seconds.[14] On rare occasions, they may continue for up to two days.[1]Acephalgic migraines may resemble transient ischemic attacks or, when longer in duration, stroke.[1][15] The concurrence of other symptoms such as photophobia and nausea can help in determining the proper diagnosis.[15] Occasionally, patients with acephalgic migraine are misdiagnosed as suffering epilepsy with visual seizures, but the reverse misdiagnosis is more common.[16] TreatmentThe prevention and treatment of acephalgic migraine is broadly the same as for classical migraine, but the symptoms are usually less severe than those of classic migraine, so treatment is less likely to be required. See also
References1. ^1 2 {{cite book | title = Primary Care Medicine: Office Evaluation and Management of the Adult Patient | edition= 6th | last = Goroll |first = Allan H. |author2= Albert G. Mulley | publisher = Lippincott Williams & Wilkins | year = 2009 | isbn = 0-7817-7513-2 | page = 1152}} 2. ^{{cite book | title = Companion to clinical neurology | last = Pryse-Phillips | first = William | edition = 2nd | publisher = Oxford University Press US | year= 2003 | isbn = 0-19-515938-1 | page = 587}} 3. ^{{cite book | title = Neurology in clinical practice | volume = 2 | isbn = 0-7506-7469-5 | edition = 4th | first = Walter George | last = Bradley | publisher = Taylor & Francis | year = 2004 | page = 2074}} 4. ^{{cite book | title = The Migraine Brain: Your Breakthrough Guide to Fewer Headaches, Better Health | first = Carolyn | last = Bernstein |author2= Elaine McArdle | publisher = Simon and Schuster | year = 2009 | isbn = 1-4165-4769-X | page = 36}} 5. ^{{cite book | title = Epilepsy: a comprehensive textbook |volume = 1| last = Engel | first = Jerome |author2=Timothy A. Pedley|author3=Jean Aicardi|author4=Marc A Dichter | edition= 2nd | publisher = Lippincott Williams & Wilkins | year = 2008 | isbn = 0-7817-5777-0 | page = 2695}} 6. ^{{cite book | title = Walsh and Hoyt's clinical neuro-ophthalmology | volume = 1 | last = Miller | first = Neil R. |author2=Frank Burton Walsh|author3=Valérie Biousse|author4=William Fletcher Hoyt | edition = 6th | publisher = Lippincott Williams & Wilkins | year = 2005 | isbn = 0-7817-4811-9 | page = 1289}} 7. ^1 {{cite book | title = Migraine in women | first = Elizabeth | last = Loder |author2= Dawn A. Marcus | publisher = PMPH-USA | year = 2004 | isbn = 1-55009-180-8 | page = 21}} 8. ^{{cite journal|last=Al-Twaijri|first=WA|author2=Shevell, MI|title=Pediatric migraine equivalents: occurrence and clinical features in practice.|journal=Pediatric Neurology|date=May 2002|volume=26|issue=5|pages=365–8|doi=10.1016/S0887-8994(01)00416-7|pmid=12057796}} 9. ^{{cite book | last = Lipton | first = Richard B. | title = Migraine and other headache disorders | volume = 85 | series = Neurological disease and therapy |author2= Marcelo Eduardo Bigal | publisher = Informa Health Care | year = 2006 | page = 204 | isbn = 0-8493-3695-3}} 10. ^{{cite book | title = Handbook of neurosurgery | first = Mark S. | last = Greenberg | edition = 6th | publisher = Thieme | year = 2006 | isbn = 3-13-110886-X | page = 45}} 11. ^{{cite book | last = Gilroy | first = John | title = Basic neurology | edition = 3rd | publisher = McGraw-Hill Professional | year = 2000 | isbn= 0-07-105467-7 | page = 127}} 12. ^{{cite journal|author=G. D. Schott|journal=Brain|year=2007|volume=130|issue=6|doi=10.1093/brain/awl348|url=http://brain.oxfordjournals.org/content/130/6/1690.full|title=Exploring the visual hallucinations of migraine aura: the tacit contribution of illustration|pages=1690–1703|pmid=17264093}} 13. ^{{cite book | last = Irwin | first = Richard S. | title = Diagnosis and treatment of symptoms of the respiratory tract |author2=Frederick J. Curley|author3=Ronald F. Grossman | edition = 2nd | publisher = Wiley-Blackwell | year = 1997 | isbn = 0-87993-657-6 | page = 607}} 14. ^{{cite book | last = Amos | first = John F. | title = Diagnosis and management in vision care | publisher = Butterworths | year = 1987 | isbn = 0-409-95082-3 | page = 16}} 15. ^1 {{cite book | title = Clinical guide to comprehensive ophthalmology | last = Lee | first = David A. |author2=Eve J. Higginbotham | publisher = Thieme | year = 1999 | isbn = 0-86577-766-7 | page = 532}} 16. ^{{cite book | title = A Clinical Guide to Epileptic Syndromes and Their Treatment | first = Chrysostomos P. | last = Panayiotopoulos | edition = 2nd | publisher = Springer | year = 2007 | isbn = 1-84628-643-3 | pages = 107–108}} 1 : Headaches |
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