Vijayan N
Headache and Neurology Clinic, Sacramento, CA 95816.
Cephalalgia. 1990 Apr;10(2):67-70. doi: 10.1046/j.1468-2982.1990.1002067.x.
The term "cluster vertigo" was originally used by Gilbert to describe episodes of vertigo in patients with Ménière's syndrome. Since these patients also had co-existing cluster headache, he suggested that both disorders could have had a common pathophysiology. There is no evidence in the literature for an increased incidence of Ménière's syndrome in cluster headache patients, so the argument that cluster headache and Ménière's syndrome may have a common pathogenesis cannot be supported. Subsequent authors have used the term "cluster vertigo" to denote a variant form of cluster headache and have confused the matter further. This was not the intention of the original author. The terminology is misleading and should not be used to describe a sub-type of cluster headache. A case of cluster headache with accompanying vertigo is described as a contrast to the patients described by Gilbert in whom headache and episodes of vertigo occurred independently.
术语“丛集性眩晕”最初由吉尔伯特用于描述梅尼埃病患者的眩晕发作。由于这些患者同时还患有丛集性头痛，他认为这两种疾病可能具有共同的病理生理学机制。文献中没有证据表明丛集性头痛患者中梅尼埃病的发病率增加，因此丛集性头痛和梅尼埃病可能具有共同发病机制的观点无法得到支持。随后的作者使用“丛集性眩晕”一词来表示丛集性头痛的一种变异形式，这进一步混淆了问题。这并非原作者的本意。该术语具有误导性，不应被用于描述丛集性头痛的一个亚型。本文描述了一例伴有眩晕的丛集性头痛病例，以与吉尔伯特所描述的头痛和眩晕发作相互独立的患者形成对比。
