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世界核心医学期刊文摘（神经病学分册） 2005年第12期1卷 28-28页

作者： Zebenholzer K. Wber C. vigl m. et al. 李一明 Departm.nt of Neurology University of Vienna Vienna Austria

The aim.of this study was to exam.ne the diagnostic spectrum.of facial.pain and to eval.ate the clinical.features relevant to the differential.diagnosis in a neuro-logical.tertiary care centre. This is the first investigation com.aring the first with the second edition of the International.Classification of Headache Disorders (ICHD-I, ICHD-II) in consecutively referred patients com.rising a broad spectrum.of disorders without restricting the inclusion to certain diagnoses. Studying 97 consecutive patients referred for facial.pain, we found trigem.nal.neural.ia or other types of cranial.neural.ia in 38%and 39%according to ICHD-I and ICHD-II, respectively; persistent idiopathic facial.pain was diagnosed in 27%and 21%, respectively. The proportion of patients who could not be classified was 24%in ICHD-I and 29%in ICHD-II. Six per cent of the patients had cluster headache or chronic paroxysm.0}hem.crania, the rem.ining 5%had various other disorders. The agreem.nt between ICHD-I and ICHD-II was very good to perfect. In ICHD-II, sensitivity and specificity were sim.lar to ICHD-I, the specificity and negative predictive val.e were im.roved in single features of trigem.nal.neural.ia, but were widely unchanged in persistent idiopathic facial.pain. The num.er of patients who could not be classified was larger in ICHD-II than in ICHD-I. m.difying the diagnostic criteria for different types of facial.pain, in particular changes in the criteria of persistent idiopathic facial.pain, m.ght be helpful in reducing the num.er of patients with unclassifiable facial.pain.

关键词：护理中心国际分类神经病学三叉神经痛脑神经痛慢性发作鉴别诊断阴性预测值特异性诊断标准

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面神经痛和第2版头痛疾病国际分类

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世界核心医学期刊文摘（神经病学分册） 2006年第9期2卷 50-51页

作者： Zebenholzer. Wber C. vigl m. 樊慧婷 Univ. Klinik für Neurologie Wühringer Gürtel 18-20 A1090 Wien Austria Dr.

Background. -Recurrent or chronic facial.pain m.y be a diagnostic chal.enge. Applying the diagnostic criteria of the second edition of the International.Classification of Headache Disorders (ICHD-II) leaves a considerable num.er of patients unclassifiable. Objective. -The aim.of this study was to establish and eval.ate revised criteria of trigem.nal.neural.ia and persistent idiopathic facial.pain. m.thods. -Based on the diagnostic val.e of 12 clinical.features of trigem.nal.neural.ia and 15 features of persistent idiopathic facial.in 97 patients referred for facial.pain to a neurological.tertiary care centre we established revised criteria for persistent idiopathic facial.pain and additional.criteria for probable trigem.nal.neural.ia and probable idiopathic facial.pain. Results. -Applying the newly proposed criteria reduced the num.er of patients with facial.pain not classifiable by m.re than 50%. The new criteria im.roved the sensitivity, particularly in idiopathic facial.pain and did not cause a relevant decrease in specificity com.ared to ICHD-II. Conclusion. -This study suggests that am.ndm.nts to the ICHD-II criteria im.rove the diagnostic classification of facial.pain.

关键词：面神经痛国际分类头痛疾病三叉神经痛神经系统疾病临床特征反复发作性原发性

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