Secondary headaches: secondary or still primary?

The Journal of Headache and Pain

Review Article

Christoph J. Schankin¹  Andreas Straube¹ 

[1] Department of Neurology, University of Munich Hospital - Großhadern, Marchioninistr. 15, 81377, Munich, Germany;

关键词: Secondary headache;    Primary headache;    Headache triggers;    GTN;    Epilepsy;    Brain tumour;    Craniotomy;   

DOI  :  10.1007/s10194-012-0443-8

 received in 2012-01-26, accepted in 2012-03-16,  发布年份 2012

来源: Springer

【 摘 要 】

The second edition of the International Classification of Headache Disorders makes a distinction between primary and secondary headaches. The diagnosis of a secondary headache is made if the underlying disease is thought to cause headache or if a close temporal relationship is present together with the occurrence of the headache. At first glance, this may allow clearly secondary headaches to be distinguished from primary headaches. However, by reviewing the available literature concerning several selected secondary headaches, we will discuss the hypothesis that some secondary headaches can also be understood as a variation of primary headaches in the sense that the underlying cause (e.g. infusion of glyceryl trinitrate [ICHD-II 8.1.1], epilepsy [7.6.2], brain tumours [7.4], craniotomy [5.7], etc.) triggers the same neurophysiologic mechanisms that are responsible for the pain in primary headache attacks.

【 授权许可】

CC BY   
© The Author(s) 2012