Department of Otolaryngology, University of Pittsburgh, Pittsburgh, PA 15213, USA.
Lancet Neurol. 2013 Jul;12(7):706-15. doi: 10.1016/S1474-4422(13)70107-8.
Vestibular migraine is becoming recognised as a distinct clinical entity that accounts for a high proportion of patients with vestibular symptoms. A temporal overlap between vestibular symptoms, such as vertigo and head-movement intolerance, and migraine symptoms, such as headache, photophobia, and phonophobia, is a requisite diagnostic criterion. Physical examination and laboratory testing are usually normal in vestibular migraine but can be used to rule out other vestibular disorders with overlapping symptoms. The pathophysiology of vestibular migraine is incompletely understood but plausibly could include neuroanatomical pathways to and from central vestibular structures and neurochemical modulation via the locus coeruleus and raphe nuclei. In the absence of controlled trials, treatment options for patients with vestibular migraine largely mirror those for migraine headache.
前庭性偏头痛正逐渐被认为是一种明确的临床实体，它占了具有前庭症状的患者中的很大一部分。前庭症状（如眩晕和头部运动不耐受）与偏头痛症状（如头痛、畏光和畏声）之间的时间重叠是必需的诊断标准。前庭性偏头痛患者的体格检查和实验室检查通常正常，但可用于排除具有重叠症状的其他前庭疾病。前庭性偏头痛的病理生理学尚未完全了解，但可能包括从中枢前庭结构到中枢前庭结构的神经解剖途径以及通过蓝斑核和中缝核的神经化学调制。由于缺乏对照试验，前庭性偏头痛患者的治疗选择在很大程度上与偏头痛头痛的治疗选择相同。
