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首页> 外文期刊>British journal of neurosurgery >Medication overuse headache - An under-diagnosed problem in shunted idiopathic intracranial hypertension patients
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Medication overuse headache - An under-diagnosed problem in shunted idiopathic intracranial hypertension patients

机译：药物滥用性头痛-特发性特发性颅内高压患者的诊断不足

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Purpose. Management of headache in a subgroup of shunted idiopathic intracranial hypertension (IIH) patients is a well-described and difficult task. We present our series of shunted IIH patients with medication overuse headache (MOH) and discuss the role of careful pain management in this group of patients. Materials and methods. A retrospective review of shunted IIH patients with headache, who had their shunt function assessed by monitoring their intracranial pressure and were subsequently diagnosed with MOH. Results. A total of 15 patients were identified. The mean time between the diagnosis of IIH and the diagnosis of medication overuse headache was 6 years (standard deviation 4.9, range 2-18 years). The majority of patients in this group (12/15) had undergone multiple shunt revisions. Conclusions. Medication overuse headache in shunted IIH patients can lead to the requirement of hospital admission, investigations and procedures. We suggest that opiates and non-steroidal anti-inflammatory analgesics (NSAIDs) are used for a specified duration post-operatively and reviewed regularly. We suggest that patients are counselled regarding medication overuse headache in a multidisciplinary setting.
机译：目的。分流性特发性颅内高压症（IIH）患者亚组的头痛管理是一项描述充分且困难的任务。我们介绍了患有药物过度使用性头痛（MOH）的分流IIH患者系列，并讨论了小心控制疼痛在这组患者中的作用。材料和方法。回顾性回顾性分流IIH头痛患者，通过监测颅内压评估分流功能并随后被诊断为MOH。结果。总共确定了15名患者。从诊断IIH到诊断药物滥用头痛之间的平均时间为6年（标准差4.9，范围2-18年）。该组中的大多数患者（12/15）经历了多次分流翻修。结论分流IIH患者的药物过度使用性头痛可能导致需要入院，调查和程序。我们建议鸦片类药物和非甾体类抗炎镇痛药（NSAIDs）在手术后指定时间使用，并定期复查。我们建议在多学科环境中为患者提供有关药物过度使用头痛的建议。

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