Department of Otolaryngology, Hearing and Balance Research Unit, University of Tampere, Tampere, Finland.
Faculty of Medicine, University of Tartu, Tartu, Estonia.
Eur Arch Otorhinolaryngol. 2020 Jul;277(7):1907-1916. doi: 10.1007/s00405-020-05890-3. Epub 2020 Mar 17.
We explored the association of vestibular drop attacks (VDA) with or without migraine in patients with Ménière's disease (MD) and compared with patients classified as vestibular migraine (VM).
The study involved a cross-sectional survey design. Data were collected from 401 members of Finnish Ménière Federation who experienced VDA.
In the sample of 401 patients with VDA who did not experience headache, VM was diagnosed among 16.4% participants and migraine not associated with vertigo was experienced among 25.2% of the participants. Severity of postural instability, ability to move, and ability to stand up from chair differed among VDA baseline, VDA migraine and VM patient groups. Syncope associated with VDA was noticed more frequently in VM group. In terms of neurological complaints, except for visual problems, all other symptoms differed significantly between three patient groups. The health-related quality of life also differed between groups with VM group having the worse scores.
The current study suggests that migraine is common in MD patients who experience VDA. We observed no definite complaint that could be ascertained to VM. The coexistence of migraine increased the impact of complaints associated with VDA.
我们探讨了伴有或不伴有偏头痛的前庭性发作（VDA）与梅尼埃病（MD）患者的关系，并与被诊断为前庭性偏头痛（VM）的患者进行了比较。
本研究采用横断面调查设计。从芬兰梅尼埃病联合会的 401 名经历过 VDA 的成员中收集数据。
在 401 名无头痛的 VDA 患者样本中，16.4%的参与者被诊断为 VM，25.2%的参与者经历了与眩晕无关的偏头痛。姿势不稳定、移动能力和从椅子上站起来的能力在 VDA 基线、VDA 偏头痛和 VM 患者组之间存在差异。VM 组更常出现与 VDA 相关的晕厥。在神经系统症状方面，除了视觉问题外，所有其他症状在三组患者之间均有显著差异。健康相关的生活质量也因组而异，VM 组的评分最差。
本研究表明，偏头痛在经历 VDA 的 MD 患者中很常见。我们没有观察到可以确定为 VM 的明确症状。偏头痛的共存增加了与 VDA 相关的症状的影响。
