Beh Center for Vestibular & Migraine Disorders, 4500 Hillcrest Rd Ste 145, Frisco, TX, 75035, USA.
Curr Neurol Neurosci Rep. 2022 Oct;22(10):601-609. doi: 10.1007/s11910-022-01222-6. Epub 2022 Aug 31.
To explore recent developments in vestibular migraine (VM).
This review discusses the current diagnostic criteria for VM in the adult and pediatric populations, as proposed by the International Headache Society and Bárány Society. Recent VM studies confirm the prior findings and reveal new insights, including the wide range of vestibular symptoms, symptoms in the attack-free period, and triggers. Many patients experience persistent vestibular symptoms, even in the absence of acute attacks, which often significantly impact patients' quality of life. The syndrome of benign recurrent vertigo and its relationship to migraine, VM, and Meniere's disease is also discussed. There is a dearth of randomized controlled trials in VM treatment. Prospective and retrospective studies support the benefit of many migraine treatments are effective in VM, including neuromodulation, and calcitonin gene-related peptide monoclonal antibodies. VM affects almost 3% of the population, but remains under-diagnosed. Recent diagnostic criteria can help clinicians diagnose VM in adults and children.
探讨前庭性偏头痛（VM）的最新进展。
本综述讨论了国际头痛协会和巴伦协会提出的成人和儿童人群中 VM 的现行诊断标准。最近的 VM 研究证实了先前的发现，并揭示了新的见解，包括广泛的前庭症状、发作间期的症状和诱因。许多患者存在持续性的前庭症状，即使在没有急性发作的情况下，这常常显著影响患者的生活质量。良性阵发性眩晕综合征及其与偏头痛、VM 和梅尼埃病的关系也进行了讨论。VM 的治疗缺乏随机对照试验。前瞻性和回顾性研究支持许多偏头痛治疗方法对 VM 有效，包括神经调节和降钙素基因相关肽单克隆抗体。VM 影响近 3%的人群，但仍未得到充分诊断。最近的诊断标准可以帮助临床医生诊断成人和儿童的 VM。
