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偏头痛的主要症状是严重的阵发性搏动性头痛,还可出现其它临床表现,这些症状可见于头痛期、间歇期或头痛前期,如与头痛无密切关联时,又称作偏头痛先兆,儿童的病程与成人大不相同。通常认为经典的或并发的偏头痛是一种血管性疾患,分布于中枢神经系统的血管痉挛导致神经症状,继而,颅外的血管扩张引起头痛。在一般的偏头痛病例,很少或并没有血管痉挛性因素的临床表现。作者综合文献报道婴儿期阵发性斜颈(PTI)33例,斜颈发作时间都在早晨清醒时。9例伴发脊柱侧凸、其中1例对侧下肢及踱伸展,提示为强直性前庭脊髓反射。5例发作时有头痛。这些均说明PTI和偏头痛之间存在联系,PTI可作为偏头痛的替代症。最新研究指出,儿童良性阵发性眩晕(BPVC)听力正常
The main symptom of migraine is severe paroxysmal pulsatile headache, but also other clinical manifestations, these symptoms can be found in the headache period, intermittent period or headache, such as the headache is not closely related, also known as migraine aura, The course of the child is very different from that of adults. It is generally accepted that classic or concurrent migraine is a vascular disorder in which vasospasm distributed in the central nervous system leads to neurological symptoms and, in turn, headache due to extracranial vasodilation. In the general case of migraine, little or no clinical evidence of vasospastic factors. The authors comprehensive literature reported 33 cases of paroxysmal torticollis (PTI) in infancy, torticollis attack time in the morning when awake. 9 cases with scoliosis, including 1 case of contralateral lower extremity and pacing, suggesting ankylosing vestibular spinal reflex. 5 cases of headache when the attack. All of this shows that there is a link between PTI and migraine, and PTI can be used as a replacement for migraine. New research indicates that children with benign paroxysmal vertigo (BPVC) hearing