Department of Neurology, Centre Hospitalier Emile Mayrisch, Luxembourg.
Curr Opin Neurol. 2014 Feb;27(1):105-10. doi: 10.1097/WCO.0000000000000061.
Awareness of the importance of migraine in patients with symptoms of vestibular dysfunction is increasing. This article gives an overview of the multiple facets of the link between migraine and vestibular dysfunction.
The vestibular and the headache community have published a consensual definition of vestibular migraine, which is an important step to promote research on the topic and the awareness of clinicians. Vestibular migraine is considered the most common cause of spontaneous recurrent vertigo. So far, the evidence for vestibular migraine has been mainly epidemiological, but the recent follow-up of a cohort over 9 years could show the robustness of the diagnosis over time.Additionally, migraine and vestibular dysfunction have multiple potential interactions and links through a range of comorbidities such as Menière's disease, benign paroxysmal positional vertigo, anxiety and motion sickness, which go beyond the diagnostic entity of vestibular migraine.
The further refinement and wider acceptance of the diagnostic entity of vestibular migraine is an important development as it is one the most common vestibular disorders. But the relationship between migraine and vestibular dysfunction is complex and has many aspects beyond vestibular migraine.
目的综述:人们对伴有前庭功能障碍症状的偏头痛的重视度正在增加。本文概述了偏头痛与前庭功能障碍之间的多方面联系。
最新发现:前庭和头痛领域发布了前庭性偏头痛的共识定义,这是促进该主题研究和提高临床医生认识的重要一步。前庭性偏头痛被认为是自发性复发性眩晕最常见的原因。到目前为止,关于前庭性偏头痛的证据主要是基于流行病学的,但最近对一个队列进行的 9 年随访可以显示出随着时间的推移诊断的稳健性。此外,偏头痛和前庭功能障碍通过一系列共病(如梅尼埃病、良性阵发性位置性眩晕、焦虑和晕动病)有多种潜在的相互作用和联系,这些联系超出了前庭性偏头痛的诊断实体。
总结:作为最常见的前庭障碍之一,前庭性偏头痛这一诊断实体的进一步细化和更广泛的认可,是一个重要的发展。但是偏头痛和前庭功能障碍之间的关系很复杂,除了前庭性偏头痛之外还有很多方面。