患者,女性,32岁,右利手.自青春期开始反复出现以右侧为主头痛并伴恶心呕吐.患者的祖母和姑母及其幼子患有头痛病.头痛发作前,患者的视野,常呈现黑点线横过.过去的一年中常闻到一种极不舒服似“腐烂动物”一般臭味的短暂先兆,幻嗅发生在典型头痛发作前二十分钟而在头痛发作时或发作前消失.无其它发作性疾病,头部外伤史及严重内科疾患,体检和神经系检查,仅于右枕部有触痛.血细胞计数,血液的电解质及葡萄糖,肝肾功能检查,血凝检查,颈椎照片,脑电图,头部CT扫描等均为正常.在偏头痛发作前,可伴有许多种神经现象,最普通者可见视暗点,偏盲,局部或偏侧痛觉减退,单瘫,偏瘫和失语症.这些症状系神经功能缺陷.现归之于继发于脑血流障碍,脑缺血,亦可为血管 The patient, female, 32 years old, right hand .Personance beginning with the recurrence of right-sided headache and nausea and vomiting .People’s grandmother and aunt and their sons suffer from headache before the onset of headache, patients often appear The black dotted line crossed over the past year, a terrible uncomfortable smell like “rotten animal” a common sign of smell, phantom sniffing occurred twenty minutes before the onset of a typical headache or attack No other episodes of illness, history of head trauma and severe medical conditions, physical examination and neurological examination, only in the right occipital tenderness. Blood count, blood electrolytes and glucose, liver and kidney function tests, hemagglutination examination , Cervical photos, EEG, CT scan of the head are normal in the migraine attack before may be accompanied by many kinds of nerve phenomenon, the most common visual acuity point, hemianopia, partial or partial pain relief, single paralysis , Hemiplegia and aphasia These symptoms Department of neurological deficits now belong to secondary to cerebral blood flow disorders, cerebral ischemia, but also for the blood vessels