CAJ | 학술논문

目的：观察临床表现，可能病因及加巴喷丁疗效观察。方法选择2008年～2012年以来郑州大学第五附属医院神经内科主诉头盖部圆形区域内疼痛患者共18例，对其头痛的临床特点进行分析，并给予加巴喷丁治疗。结果所有患者均为头部圆形或类圆形区域内疼痛，边界较清楚，头痛部位多位于头顶部。疼痛部位和性质不随时间变化而变化。加巴喷丁治疗硬币性头痛有一定疗效。结论硬币性头痛有其特征性临床表现，加巴喷丁可能有一定治疗作用。
목적：관찰림상표현，가능병인급가파분정료효관찰。방법선택2008년～2012년이래정주대학제오부속의원신경내과주소두개부원형구역내동통환자공18례，대기두통적림상특점진행분석，병급여가파분정치료。결과소유환자균위두부원형혹류원형구역내동통，변계교청초，두통부위다위우두정부。동통부위화성질불수시간변화이변화。가파분정치료경폐성두통유일정료효。결론경폐성두통유기특정성림상표현，가파분정가능유일정치료작용。
Objective To explore the clinical features , probably pathogenesis of nummular headache and responsive to gabapentin .Methods From 2008 to 2012,18 patients with nummular headache from Depart-ment of Neurology of the Fifth Affiliated Hospital of the Zhengzhou University were selected ,their clinical fea-tures of the headache were analyzed and prescribed gabapentin .Results The headache of all patients present focal and well-circumscribed pain fixed within a round , or elliptical-shaped region of the head .The symptomatic area was located in the parietal .The pain was usually mild to moderate in intensity but may be severe .Gabapen-tin play a role in treating nummular headache .Conclusion Patients with nummular headache have typical clinical features .Gabapentin may play a promising role .