Otolaryngology, GWU Medical Faculty Associates, 2300 M Street Northwest, Washington, DC 20037, USA.
Otolaryngology, GWU Medical Faculty Associates, 2300 M Street Northwest, Washington, DC 20037, USA.
Otolaryngol Clin North Am. 2021 Oct;54(5):949-958. doi: 10.1016/j.otc.2021.05.014. Epub 2021 Jul 20.
Vestibular migraine (VM) is one of the most common neurologic causes of vertigo. Symptoms and International Classification of Headache Disorders criteria are used to diagnose VM because no objective tests, imaging or audiologic, have been shown to reliably diagnose this condition. Central auditory, peripheral, and central vestibular pathway involvement has been associated with VM. Although the interaction between migraine and other vestibular disorders can be a challenging scenario for diagnosis and treatment, there are data to show that vestibular rehabilitation and a variety of pharmacologic agents improve reported symptoms and vertigo frequency.
前庭性偏头痛(VM)是眩晕最常见的神经学病因之一。由于没有可靠的客观检查、影像学或听力检查可用于诊断 VM,因此采用症状和国际头痛疾病分类标准来诊断 VM。现已证实,中枢听觉、外周和中枢前庭通路受累与 VM 相关。尽管偏头痛与其他前庭疾病之间的相互作用可能会给诊断和治疗带来挑战,但有数据表明前庭康复和各种药物可改善报告的症状和眩晕频率。