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在新的国际头痛学会制定的偏头痛的分类标准中,用“有先兆的偏头痛”和“无先兆的偏头痛”取代了“典型偏头痛”和“普通偏头痛”的述语。有关有先兆偏头痛临床表现的报道相对罕见。作者检查了47例青少年先兆性偏头痛,评价了先兆性偏头痛与病理生理机制有关的临床表现。 47例青少年偏头痛中,女31例,男16例,年龄为12岁6个月～24岁3个月。所有病例均进行了临床和必需的实验室检查(包括神经系统检查、眼底检查、脑电图及CT等),以排除其它的病理现象。进行了多次随访,尽可能精确的获得与偏头痛先兆有关的症状,作者特别注意了先兆出现的次序、持续时间、出现与消失的形式,且进一步观察了
In the classification of migraine developed by the new International Society of Headaches, the terms “classic migraine” and “ordinary migraine” have been replaced by “migraine with aura” and “migraine without aura”. Reports of clinical manifestations of migraine with aura are relatively rare. The authors examined 47 adolescent migraine aura and evaluated the clinical manifestations of migraine aura associated with pathophysiologic mechanisms. Among 47 young migraineurs, 31 were female and 16 were male, ranging in age from 12 months 6 months to 24 years and 3 months. All cases were undergone clinical and necessary laboratory tests (including neurological examination, fundus examination, EEG and CT, etc.) to exclude other pathological findings. After several follow-up visits, the symptoms associated with migraine aura were obtained as accurately as possible. The authors paid particular attention to the order in which the aura appeared, the duration, the appearance and disappearance of the form, and further observation