《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (07): 617-618.

• 专题 • 上一篇    下一篇

后颅凹开颅术后重度头痛的病因学分析

季楠1a;阎桂琴1b;王集生1a;陆菁菁1c   

  1. 1.首都医科大学附属北京天坛医院，a.神经外科; b.麻醉科; c.神经内科，北京市 100050
  • 收稿日期:2009-05-19 出版日期:2009-07-01 发布日期:2009-07-01
  • 通讯作者: 陆菁菁

Etiology of Severe Headache after Posterior Fossa Craniotomy

JI Nan,YAN Gui-qin,WANG Ji-sheng,et al   

  1. Department of Neurosurgery, Tiantan Hospital, Capital Medical University, Beijing 100050, China
  • Received:2009-05-19 Published:2009-07-01 Online:2009-07-01

PDF (PC)

被引次数

4

摘要： 目的 探讨后颅凹开颅患者术后与神经外科情况无关的重度头痛的发生率和临床特点，并进行鉴别诊断。方法 对119例行择期手术的小脑幕下肿瘤患者进行回顾性分析。结果 术后重度头痛的发生率为37.8%（45/119）：神经痛16.0%（19/119），颈源性头痛7.6%（9/119），单纯切口疼痛14.3%（17/119）。结论 后颅凹开颅术后除神经痛及切口疼痛外，颈源性头痛亦是引起疼痛的原因之一。

关键词: 颅脑手术, 头痛, 颈源性头痛, 神经痛

Abstract: Objective To investigate the incidence, possible mechanisms, clinical features of severe headache after posterior fossa craniotomy. Methods 119 neurosurgical patients undergoing selective posterior fossa craniotomy were analyzed retrospectively. Results 45 （37.8%） patients experienced severe postoperative pain, which could be identified as neuralgia (19 cases), cervicogenic headache (9 cases) and incision of scalp pain （17 cases）. Conclusion In addition to neuralgia and incision of scalp pain, cervicogenic factor plays an important role in severe headache after posterior fossa craniotomy.

Key words: craniotomy, headache, cervicogenic headache, neuralgia