García Alejandro, Madrigal Jorge, Castillo Melissa
Otolaryngology, Massachusetts Eye and Ear Infirmary, Boston, USA.
Otoneurology, Centro de Vértigo y Mareo, Mexico City, MEX.
Cureus. 2021 Jun 28;13(6):e15998. doi: 10.7759/cureus.15998. eCollection 2021 Jun.
Vestibular migraine (VM) is one of the most common types of episodic vertigo. Over the last 11 years, this disorder has been studied by both neurologists and otolaryngologists. Based on the clinical symptoms and previous migraine history, the Barany Society and the International Classification of Headache Disorders have created the diagnostic criteria for VM. Unilateral and pulsatile headache, phonophobia, photophobia, auras, and a previous history of migraine have been included in these criteria. Although these symptoms are common and widely known, other symptoms not included in the Barany Society criteria are emerging and have been described in some clinical studies. These emerging criteria include audio-vestibular symptoms such as hearing loss, ear fullness, and tinnitus. Ringing ears could be associated with other vestibular disorders such as superior canal dehiscence and Ménière's disease, but not in VM. The frequency, pathophysiological contributors, and clinical characteristics of this symptom in individuals with VM will be explored in this review.
前庭性偏头痛（VM）是发作性眩晕最常见的类型之一。在过去11年里，神经科医生和耳鼻喉科医生都对这种疾病进行了研究。基于临床症状和既往偏头痛病史，巴拉尼协会和《国际头痛疾病分类》制定了VM的诊断标准。这些标准包括单侧搏动性头痛、畏声、畏光、先兆以及既往偏头痛病史。尽管这些症状很常见且广为人知，但巴拉尼协会标准未纳入的其他症状也逐渐出现，并在一些临床研究中得到了描述。这些新出现的标准包括听觉前庭症状，如听力损失、耳闷和耳鸣。耳鸣可能与其他前庭疾病有关，如半规管裂和梅尼埃病，但与VM无关。本文将探讨VM患者中该症状的发生频率、病理生理因素及临床特征。
