采用偏头痛治疗方案成功治疗一例明确梅尼埃病患儿。
Successful treatment of a child with definite Meniere's disease with the migraine regimen.
机构信息
Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, USA.
Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, USA; Department of Biomedical Engineering, University of California, Irvine, USA.
出版信息
Am J Otolaryngol. 2019 May-Jun;40(3):440-442. doi: 10.1016/j.amjoto.2019.02.004. Epub 2019 Feb 18.
Emerging evidence suggests substantial overlap between the symptoms of Meniere's disease (MD) and migraine-related cochlear/vestibular disorders. We report a 5-year-old girl with a 6-month history of left-sided hearing loss followed by daily episodes of vertigo, headache, and vomiting who met the criteria for definite MD. The patient became symptom-free and gained near normal hearing levels after starting on a 6-week migraine diet/lifestyle regimen with riboflavin and magnesium. We believe that the symptoms of MD may be primarily due to a vestibular migraine phenomenon. Pediatric MD patients may benefit from migraine lifestyle/dietary changes with control of both cochlear and vestibular symptoms.
新出现的证据表明，梅尼埃病（MD）的症状与偏头痛相关的耳蜗/前庭障碍之间存在很大的重叠。我们报告了一例 5 岁女孩，其病史为 6 个月的左侧听力下降，随后每天出现眩晕、头痛和呕吐，符合明确 MD 的标准。患者在开始使用核黄素和镁进行为期 6 周的偏头痛饮食/生活方式方案后，症状消失，听力接近正常。我们认为 MD 的症状可能主要是由于前庭性偏头痛现象。儿科 MD 患者可能受益于偏头痛生活方式/饮食改变，从而控制耳蜗和前庭症状。
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