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评估偏头痛性眩晕发作期间的视频头脉冲试验。

Evaluation of video head impulse test during vertiginous attack in vestibular migraine.

机构信息

Acıbadem University, School of Medicine, Department of ENT, Istanbul, Turkey.

Acıbadem Health Group, Acıbadem Kozyatagi Hospital, Neurology Department, Istanbul, Turkey.

出版信息

Acta Otorhinolaryngol Ital. 2022 Jun;42(3):281-286. doi: 10.14639/0392-100X-N1951.

Abstract

OBJECTIVE

The aim of this study is to evaluate vestibular functions with video head impulse test (VHIT) and to understand the value of VHIT in differential diagnosis in patients with vestibular migraine (VM) during dizziness attack.

MATERIALS AND METHODS

Two groups were enrolled in this study. The first consisted of 84 vestibular migraine patients, and second group of 74 healthy subjects. VHIT was applied to patients with VM during vertigo attack and the results were compared with the VHIT values applied to subjects in the control group.

RESULTS

The mean vestibulo-ocular reflex (VOR) in all semicircular canals in the VM group was lower than healthy individuals, but the results were not statistically significant. Refixation saccades were found in 52.3% of VM patients and in 10.2% of healthy individuals.

CONCLUSIONS

When patients with VM were evaluated with VHIT during vertiginous attack, VOR gain values were not different from healthy individuals, but the number of catch-up saccades were higher in VM patients, which indicates peripheral vestibular involvement. For differential diagnosis in patients with VM, vestibular tests should be performed during the vertigo attack. When evaluating VHIT results, the presence of refixation saccades should also be evaluated.

摘要

目的

本研究旨在评估视频头脉冲试验(VHIT)在眩晕发作时的前庭功能,并了解 VHIT 在前庭性偏头痛(VM)患者中的鉴别诊断价值。

材料与方法

本研究纳入了两组患者。第一组为 84 例前庭性偏头痛患者,第二组为 74 例健康对照者。对 VM 患者在眩晕发作时进行 VHIT,并将结果与对照组的 VHIT 值进行比较。

结果

VM 组各半规管的平均前庭眼反射(VOR)均低于健康对照组,但差异无统计学意义。VM 患者中有 52.3%出现固视性眼震,而健康对照组中仅有 10.2%出现该现象。

结论

当 VM 患者在眩晕发作时接受 VHIT 评估时,VOR 增益值与健康对照组无差异,但 VM 患者的固视性眼震次数更多,这表明外周前庭受累。对于 VM 患者的鉴别诊断,应在眩晕发作时进行前庭功能检查。评估 VHIT 结果时,还应评估固视性眼震的存在。

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本文引用的文献

3
The integration of multisensory motion stimuli is impaired in vestibular migraine patients.
J Neurol. 2020 Oct;267(10):2842-2850. doi: 10.1007/s00415-020-09905-1. Epub 2020 May 24.
4
Vestibular Lab Testing: Interpreting the Results in the Headache Patient with Dizziness.
Curr Neurol Neurosci Rep. 2020 May 19;20(6):16. doi: 10.1007/s11910-020-01036-4.
5
Video head impulse test in vestibular migraine.
Braz J Otorhinolaryngol. 2021 Nov-Dec;87(6):671-677. doi: 10.1016/j.bjorl.2019.12.009. Epub 2020 Feb 12.
6
Vestibular Migraine.
Neurol Clin. 2019 Nov;37(4):695-706. doi: 10.1016/j.ncl.2019.06.003. Epub 2019 Aug 20.
7
Eye movements and imaging in vestibular migraine.
Acta Otorrinolaringol Esp (Engl Ed). 2020 Jan-Feb;71(1):3-8. doi: 10.1016/j.otorri.2018.10.001. Epub 2019 Jan 22.
8
Video head impulse test (vHIT) in migraine dizziness.
J Otol. 2018 Jun;13(2):65-67. doi: 10.1016/j.joto.2017.12.002. Epub 2018 Feb 9.
9
The Video Head Impulse Test.
Front Neurol. 2017 Jun 9;8:258. doi: 10.3389/fneur.2017.00258. eCollection 2017.
10
Vestibular Function Tests for Vestibular Migraine: Clinical Implication of Video Head Impulse and Caloric Tests.
Front Neurol. 2016 Sep 30;7:166. doi: 10.3389/fneur.2016.00166. eCollection 2016.

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