[梅尼埃病与偏头痛]
[Ménière's disease and migraine].
作者信息
Pérez López L, Belinchón de Diego A, Bermell Carrión A, Pérez Garrigues H, Morera Pérez C
机构信息
Servicio ORL, Hospital Universitario La Fe, Valencia.
出版信息
Acta Otorrinolaringol Esp. 2006 Mar;57(3):126-9. doi: 10.1016/s0001-6519(06)78676-9.
INTRODUCTION
The possible link between vertigo and migraine has been known for a long time as well as its association with Ménière's disease.
OBJECTIVE
To determine the lifetime prevalence of migraine in EM patients and to compare it with the prevalence of migraine in general population according to the International Headache Society (IHS) criteria.
METHODS
We interviewed 65 EM patients. Our results have been compared with a sex- and age-matched control group with no otological antecedent.
RESULTS
The lifetime prevalence of migraine was significantly higher in Ménière group compared to the age- and sex-matched control group (35.4% versus 15.4%, p < or = 0.05). Nine patients with EM and migraine related an evident relationship between their vertigo episodes and the migraine.
CONCLUSIONS
The results obtained in our study suggest the possibility of common pathophysiological mechanisms to both pathologies and it may lead to new therapeutic options for treatment of EM and migraine patients.
引言
眩晕与偏头痛之间可能存在的联系以及它与梅尼埃病的关联早已为人所知。
目的
根据国际头痛协会（IHS）标准，确定耳石症（EM）患者偏头痛的终生患病率，并将其与普通人群中偏头痛的患病率进行比较。
方法
我们对65例耳石症患者进行了访谈。我们的结果与一个无耳科病史的性别和年龄匹配的对照组进行了比较。
结果
与年龄和性别匹配的对照组相比，梅尼埃病组偏头痛的终生患病率显著更高（35.4%对15.4%，p≤0.05）。9例患有耳石症和偏头痛的患者其眩晕发作与偏头痛之间存在明显关联。
结论
我们研究中获得的结果提示这两种病症可能存在共同的病理生理机制，这可能会为耳石症和偏头痛患者带来新的治疗选择。
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