偏头痛与脑血管发育异常、脑白质变性、脑腔梗关系分析

目的 :观察偏头痛患者脑血管情况及颅内病变情况。方法 :以住院偏头痛患者为研究对象、同一时期无偏头痛患者为对照,进行神经影像学比较。结果 :58例偏头痛患者中,有脑腔梗病灶19例(32.76%),有脑白质变性17例(29.31%),有脑血管异常37例(63.79%)。61例对照组中有脑腔梗病灶9例(14.75%),有脑白质变性5例(8.20%),有脑血管异常13例(21.31%)。2组比较差异均有统计学意义(P<0.05)。结论:偏头痛与脑白质病变、脑腔梗有关,血管因素可能参与偏头痛的发作。

Analysis of the intracranial lesions,cerebrovascular conditions and lacunar infarction in patients with migraine

Objective：To obtain the intracranial lesions and cerebrovascular conditions in patients with migraine.Methods：Patient with migraine collected from the hospitalized were compared with patients with non-migraine in their neurimaging findings.Results：Among 58 patients with migraine, 19 had a or more lacunar infarctions;17 had white matter lesions and 37 had cerebrovascular abnormalities, while 61 patients with non-migraine had 9 lacunar infarctions, 5 white matter lesions and 13 cerebrovascular abnormalities. They were all signiifcantly different（P〈0.05）.Conclusion：Migraine was associated with the white matter lesions and lacunar infarction, while vascular factors may be involved in the migraine.