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您请求的操作仅限于组中的用户:==相关共病== [[:File:偏头痛共病症。png|中心|拇指|500x500px|[[:File:偏头痛共病症。png]]]] ===过敏===发现偏头痛患者与对照组之间IgG食物过敏原阳性数量存在差异,消除饮食成功控制偏头痛,无需药物治疗。===梅尼埃氏病===诊断为梅尼埃氏病的患者更常发生偏头痛。系统性红斑狼疮(Systemic Lupus Erythematosus, SLE)是偏头痛的合并症之一。虽然研究结果各不相同,但患有偏头痛或癫痫的人患其他疾病的可能性是正常人的两倍多。5可能的共病原因:#偏头痛可通过诱导脑缺血和损伤引起癫痫。#癫痫可能通过激活三叉神经血管系统而导致偏头痛,我们预计在癫痫发作之后,而不是在癫痫发作之前,偏头痛的风险会增加。共同的环境风险因素由于偏头痛的风险在特发性或隐源性癫痫患者中显著增加,已知的环境风险因素并不能解释所有的共病。共同的遗传风险因素可能解释了共病。Ottman和Lipton提出,大脑状态的改变(兴奋性增加)可能会增加偏头痛和癫痫的风险,并导致共病,这一假设得到了治疗相似性的支持。Haut SR, Bigal ME, Lipton RB。C[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1457022/伴有发作性表现的慢性疾病:重点是癫痫和偏头痛。柳叶刀神经病学杂志。2006年2月1日;5(2):148-57。 === Stroke === *The migraine-stroke association is most apparent for young women with migraine with aura. Although there are several hypotheses about the biologic link between migraine with aura and ischemic stroke, the precise mechanisms remain unclear. However, because the absolute risk of stroke is low in patients with migraine with aura, and migraine without aura is likely not associated with ischemic stroke, most migraine patients will not experience a stroke event.Kurth T, Diener HC. [https://pubmed.ncbi.nlm.nih.gov/18778576/ Current views of the risk of stroke for migraine with and migraine without aura. Current pain and headache reports.] 2006 Jun 1;10(3):214-20. *According to large series, migrainous infarct accounts for 0.5-1.5% of all ischaemic [[stroke]]s and 10-14% in young patients. Migraine itself might cause spasm or even hyperplasia. It is unlikely to be the cause of embolism or among other disorders. dissection. Migrainous infarct due to severe hypoperfusion during an attack is rare and mostly involves the posterior-cerebral-artery territory and is more common during attacks of migraine with aura than without aura. The precise mechanism of this severe hypoperfusion is unknown. Increased risk due to treatments used in migraine, particularly vasoconstrictors, is supported by the increase in white-matter abnormalities and in mortality found in patients taking ergotamine, but two recent studies found no increase in severe vascular events with triptans. Drugs widely used in migraine, such as aspirin and non-steroidal anti-inflammatory drugs, decrease the risk of cerebral ischaemic events.Bousser MG, Welch KM. [https://pubmed.ncbi.nlm.nih.gov/16109360/ Relation between migraine and stroke.] The Lancet Neurology. 2005 Sep 1;4(9):533-42. *Migraine headache can occur as a comorbidity of ischaemic [[stroke]], carotid or [[Vertebral Artery|vertebral artery]] dissection, arteriovenous malformations, cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL syndrome), or platelet disorders (eg, thrombocytosis).Dalkara T, Nozari A, Moskowitz MA. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2921876/ Migraine aura pathophysiology: the role of blood vessels and microembolisation.] The Lancet Neurology. 2010 Mar 1;9(3):309-17.

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