Celebisoy Nese, Karapolat Hale, Gokcay Figen, Bilgen Cem, Ozgen Gulnur, Kirazli Tayfun, Kose Timur
Departments of *Neurology †Physical Medicine and Rehabilitation ‡Otorhinolaryngology, Head and Neck Surgery §Biostatistics and Medical Informatics, Ege University Medical School, İzmir, Turkey.
Neurologist. 2016 Jul;21(4):51-4. doi: 10.1097/NRL.0000000000000076.
To establish a questionnaire and check its validity and reliability for the diagnosis of vestibular migraine in patients reporting recurrent vestibular symptoms.
Vestibular migraine is the most common cause for recurrent spontaneous vertigo. However, it is still underdiagnosed needing validated and reliable screening instruments such as ID Migraine, that can be used in primary care settings, dizziness, and migraine clinics.
Sixty consecutive patients referred to our dizziness clinic with recurring vestibular symptoms were given a questionnaire that they filled in, consisting of 8 short and simple questions. The questionnaire-based diagnosis was compared with the diagnosis based on face-to-face interview and clinical examination. Test stability was evaluated by asking the patients to fill in the questionnaire a week later during a second visit. κ analysis was used to assess item-specific test-retest reliability and also the conformity between the questionnaire-based diagnosis and the clinical diagnosis.
The conformity between the clinical diagnosis and the diagnosis based on the questionnaire was 83.3% and the κ coefficient was 0.666 (good). Sensitivity of the questionnaire was 82.8% (24/29) and the specificity was 83.9% (26/31). The κ values in test-retest repetition were good to excellent (0.71 to 0.87) when each question was considered.
The validity of the "Vestibular Migraine Diagnosis Questionnaire" was good and its reliability was good to excellent indicating that it can be used as a screening tool in identifying patients with vestibular migraine in our country.
编制一份问卷，并检验其在诊断有复发性前庭症状患者的前庭性偏头痛时的有效性和可靠性。
前庭性偏头痛是复发性自发性眩晕最常见的病因。然而，其仍未得到充分诊断，需要像ID偏头痛这样经过验证且可靠的筛查工具，可用于基层医疗、头晕和偏头痛诊所。
连续60例因复发性前庭症状转诊至我们头晕诊所的患者填写了一份问卷，问卷由8个简短简单的问题组成。将基于问卷的诊断与基于面对面访谈和临床检查的诊断进行比较。通过让患者在一周后的第二次就诊时填写问卷来评估测试稳定性。κ分析用于评估特定项目的重测信度以及基于问卷的诊断与临床诊断之间的一致性。
临床诊断与基于问卷的诊断之间的一致性为83.3%，κ系数为0.666（良好）。问卷的敏感性为82.8%（24/29），特异性为83.9%（26/31）。当考虑每个问题时，重测重复中的κ值良好至优秀（0.71至0.87）。
“前庭性偏头痛诊断问卷”的有效性良好，可靠性良好至优秀，表明它可作为我国识别前庭性偏头痛患者的筛查工具。
