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前庭性偏头痛的临床表现:综述

The clinical manifestations of vestibular migraine: A review.

作者信息

O'Connell Ferster Ashley P, Priesol Adrian J, Isildak Huseyin

机构信息

The Pennsylvania State University, College of Medicine, Department of Surgery, Division of Otolaryngology-Head and Neck Surgery, 500 University Drive, Hershey, PA, 17033 USA.

Harvard Medical School, Department of Otology & Laryngology, 243 Charles Street, Boston, MA, 02114 USA.

出版信息

Auris Nasus Larynx. 2017 Jun;44(3):249-252. doi: 10.1016/j.anl.2017.01.014. Epub 2017 Mar 9.

Abstract

OBJECTIVES

To provide an overview of vestibular migraines presentation, pathology, and diagnosis, as well as an update on current diagnostic criteria.

METHODS

A review of the most recent literature on vestibular migraines was performed.

RESULTS

Vestibular migraine is a process with significant impact on the quality of life for those afflicted with the disease, with attacks of spontaneous or positional vertigo and migraine symptoms lasting several minutes to 72h. Inner ear disease can co-exist with migraine and the vestibular symptoms occurring with vestibular migraine can mimic inner ear disorders providing a challenge for clinicians in establishing diagnosis. Recent diagnostic criteria for vestibular migraine proposed by a joint committee of the Bárány Society and the International Headache Society provide an important standard for clinical diagnosis and research endeavor.

CONCLUSION

Vestibular migraine is a challenging disease process to both diagnose and treat. Proper diagnosis and treatment requires a thorough understanding of the current literature.

摘要

目的

概述前庭性偏头痛的临床表现、病理及诊断,并介绍当前诊断标准的更新情况。

方法

对有关前庭性偏头痛的最新文献进行综述。

结果

前庭性偏头痛对患者的生活质量有重大影响,发作时会出现自发性或位置性眩晕以及偏头痛症状,持续数分钟至72小时。内耳疾病可能与偏头痛并存,前庭性偏头痛出现的前庭症状可能类似内耳疾病,这给临床医生的诊断带来挑战。巴兰尼协会和国际头痛协会联合委员会提出的前庭性偏头痛最新诊断标准为临床诊断和研究工作提供了重要标准。

结论

前庭性偏头痛的诊断和治疗都具有挑战性。正确的诊断和治疗需要全面了解当前的文献。

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