Tungvachirakul V, Lisnichuk H, O'Leary S J
Center of Excellence in Otolaryngology,Rajavithi Hospital,Bangkok,Thailand.
Department of Otolaryngology,University of Melbourne,Melbourne, Victoria,Australia.
J Laryngol Otol. 2014 Jul;128 Suppl 2:S31-8. doi: 10.1017/S0022215113003484. Epub 2014 Feb 19.
To assess the epidemiology of vestibular vertigo, including the new entity of vestibular migraine, in a neuro-otology clinic population in the biggest public hospital in Thailand.
A prospective study involving all patients presenting to the neuro-otology clinic in the Rajavithi Hospital in Bangkok between November 2007 and November 2008.
The population studied consisted of adults referred to the neuro-otology clinic. Accepted international criteria and standardised otological and, when necessary, psychiatric assessment were applied to establish each diagnosis. The association between diagnoses and potential triggers was explored.
Of the 167 patients assessed, the most prevalent conditions encountered were benign paroxysmal positional vertigo and vestibular migraine. The prevalence of vestibular migraine was 29.3 per cent. No cases of Ménière's disease were encountered. An association was found between vestibular migraine and inadequate sleep, insomnia and changes of head position.
This study provides current data on the epidemiology of vestibular vertigo in a Thai neuro-otology out-patient population. The results include data on the prevalence of the new diagnostic entity of vestibular migraine, and on its association with potential triggers.
在泰国最大的公立医院的神经耳科门诊患者中，评估前庭性眩晕的流行病学情况，包括前庭性偏头痛这一新病种。
一项前瞻性研究，纳入了2007年11月至2008年11月期间到曼谷拉贾维蒂医院神经耳科门诊就诊的所有患者。
研究人群为转诊至神经耳科门诊的成年人。采用公认的国际标准以及标准化的耳科评估，并在必要时进行精神科评估以确立每个诊断。探讨了诊断与潜在诱因之间的关联。
在评估的167例患者中，最常见的病症是良性阵发性位置性眩晕和前庭性偏头痛。前庭性偏头痛的患病率为29.3%。未发现梅尼埃病病例。发现前庭性偏头痛与睡眠不足、失眠以及头部位置变化之间存在关联。
本研究提供了泰国神经耳科门诊人群前庭性眩晕流行病学的当前数据。结果包括前庭性偏头痛这一新诊断病种的患病率数据及其与潜在诱因的关联。
