Department of Neurology and Neurological Sciences, Stanford University School of Medicine, Palo Alto, CA, USA.
Arizona School of Health Sciences, A.T. Still University, Mesa, AZ, USA.
Curr Neurol Neurosci Rep. 2020 May 19;20(6):16. doi: 10.1007/s11910-020-01036-4.
To provide an overview of vestibular lab testing and to familiarize the reader with common results observed in headache patients with dizziness.
The latest research indicates variable levels of both peripheral and central vestibular dysfunction in headache populations with dizziness. Mechanisms may include vestibulocerebellar loss of inhibition, central vestibular network misfiring, and peripheral pathology aggravating central hypersensitization. Headache patients are commonly affected by dizziness stemming from various etiologies. Although history is still the gold standard in diagnosis, vestibular lab testing can identify the integrity of vestibular function. Research is emerging and future directions are encouraging.
提供前庭实验室测试概述，使读者熟悉头晕头痛患者中常见的结果。
最新研究表明，头晕头痛患者的周围和中枢前庭功能障碍程度不同。机制可能包括：前庭小脑抑制丧失、中枢前庭网络异常放电、以及外周病变加重中枢敏化。头痛患者常受到各种病因引起的头晕的影响。虽然病史仍然是诊断的金标准，但前庭实验室测试可以确定前庭功能的完整性。研究正在出现，未来的方向令人鼓舞。
