前庭性偏头痛患者的总热量眼速
Total caloric eye speed in patients with vestibular migraine.
作者信息
Thompson-Harvey Adam, Mikulec Anthony A
机构信息
Saint Louis University School of Medicine, Department of Otolaryngology - Head and Neck Surgery, 3635 Vista Ave., 6FDT, St. Louis, MO 63110, USA.
Saint Louis University School of Medicine, Department of Otolaryngology - Head and Neck Surgery, 3635 Vista Ave., 6FDT, St. Louis, MO 63110, USA.
出版信息
Am J Otolaryngol. 2018 Mar-Apr;39(2):180-183. doi: 10.1016/j.amjoto.2017.11.007. Epub 2017 Nov 14.
PURPOSE
Vestibular migraine is a common cause of dizziness that lacks a known objective test. This study examined total eye speed on caloric testing as a diagnostic marker for vestibular migraine.
MATERIALS AND METHODS
Retrospective chart review of patients seen in a tertiary otologic practice between 2004 and 2016 who had undergone caloric testing with water irrigation and had a diagnosis of vestibular migraine (n=34). A group of patients with benign paroxysmal positional vertigo (n=10) were used as a control group. Patients were grouped into quartiles based on total eye speed.
RESULTS
Only patients in the lowest quartile (total eye speed<79) had a diagnosis of vestibular migraine. All other quartiles included a mix of control and vestibular migraine patients.
CONCLUSION
Low total eye speed may be suggestive of a diagnosis of vestibular migraine, but most patients with vestibular migraine do not have low total eye speed.
目的
前庭性偏头痛是头晕的常见原因，目前尚无已知的客观检测方法。本研究将冷热试验中的总眼速作为前庭性偏头痛的诊断标志物进行了检测。
材料与方法
回顾性分析2004年至2016年间在一家三级耳科诊所接受水冲洗冷热试验且诊断为前庭性偏头痛的患者（n = 34）的病历。选取一组良性阵发性位置性眩晕患者（n = 10）作为对照组。根据总眼速将患者分为四分位数组。
结果
仅总眼速处于最低四分位数（总眼速<79）的患者被诊断为前庭性偏头痛。其他所有四分位数组均包含对照组和前庭性偏头痛患者。
结论
低总眼速可能提示前庭性偏头痛的诊断，但大多数前庭性偏头痛患者的总眼速并不低。
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