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首页> 外文期刊>Journal of orofacial pain. >Parapharyngeal tumor mimicking cervicogenic headache.
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Parapharyngeal tumor mimicking cervicogenic headache.

机译：模仿宫颈源性头痛的咽旁肿瘤。

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摘要

Nasopharyngeal cancer can occur in any age group and is often misdiagnosed. Cervicogenic headache (CEH) is a clinical condition, putatively originating from nociceptive structures in the neck. A patient with CEH-like symptoms occurring as a result of nasopharyngeal cancer invasion is reported. A 77-year-old man was admitted to the anesthesiology department (pain unit) with a 3-month history of severe unilateral headache. The headache began in the right part of the neck and spread to the right frontoorbital region and was always unilateral. There was no history of neck trauma, and the headache did not increase with neck movement. Analgesics were ineffective. The visual analog scale score for pain was 6. Neurological examination demonstrated tenderness over the right greater occipital nerve and reduced range of motion in the cervical spine. Cervical computerized tomography revealed a solid tumor in the right parapharyngeal region, adjacent to the C2-C3 vertebrae. To the authors' knowledge, this is the first case in the literature of tumoral invasion of nasopharyngeal cancer presenting as CEH. Cervical neuroimaging is obligatory in patients with late-onset, severe CEH.
机译：鼻咽癌可以发生在任何年龄段，并且经常被误诊。颈源性头痛（CEH）是一种临床疾病，可能起源于颈部的伤害性结构。据报道，由于鼻咽癌侵袭而出现CEH样症状的患者。一名77岁的男子被送往麻醉科（疼痛科），有3个月的严重单侧头痛病史。头痛始于颈部的右侧，并扩散至右侧眶前区，并且总是单侧的。没有颈部外伤史，头痛没有随颈部运动而增加。镇痛药无效。视觉模拟疼痛评分为6。神经系统检查显示右枕大神经压痛，颈椎活动范围减小。颈椎计算机断层扫描显示在右侧咽旁区域，邻近C2-C3椎骨的实体瘤。据作者所知，这是鼻咽癌以CEH出现在肿瘤侵袭文献中的第一例。迟发性严重CEH患者必须进行颈椎神经影像学检查。

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