众所周知脑动静脉畸形可以合并偏头痛,但出现视觉先驱症状的典型偏头痛罕见,诊断也困难.现报告作为典型偏头痛长期治疗的动静脉畸形二例.例1 46岁,妇女,主诉:头痛.从17岁起发作性突然左眼前闪光,持续10到20分钟.随即从右眶上部到右额顶部剧烈地搏动性头痛,持续3到4小时,往往伴有呕吐.以后上述头痛发作频率逐渐增加.头痛局限在右侧.服用偏头痛药无效.1981年同样发作后整个右侧头部持续性沉重感入院.检查发现右侧颈动脉轻度血管杂音,头面部无.意识 It is well known that cerebral arteriovenous malformations can be associated with migraine headaches, but typical migraine headaches with visual precursor symptoms are uncommon and difficult to diagnose. Two cases of arteriovenous malformations, long-term treatment of typical migraine headaches, are reported. Case 1 46 years old, woman: Headache From the age of 17 onset suddenly flashing left eye for 10 to 20 minutes immediately followed by vigorous pulsed headache from the top of the right upper quadrant to the top of the right forehead, which lasts for 3 to 4 hours, often accompanied by vomiting. Increase.Headache confined to the right.Use of migraine medicine is invalid.After the same episode in 1981 the entire right head persistent heavy hospitalization.Check the right carotid artery mild vascular murmur, head and face without consciousness.