Department of Otolaryngology-Head and Neck Surgery.
Department of Biomedical Engineering, University of California, Irvine, California, USA.
Curr Opin Otolaryngol Head Neck Surg. 2023 Oct 1;31(5):313-319. doi: 10.1097/MOO.0000000000000908. Epub 2023 Jun 2.
To discuss the theory that Meniere's disease (MD) is a variation of otologic migraine rather than an isolated inner ear condition.
In contrast to the approximately 12% of the general population suffering from migraine headaches, 51-60% of patients with MD experience migraine headaches. While pathognomonic for MD, endolymphatic hydrops has also been identified in patients with vestibular migraine. Treatment with the integrative neurosensory rehabilitation approach (diet and lifestyle changes, magnesium and riboflavin supplementation, and when needed, prophylactic medication) to treat the underlying migraine process has been highly effective in patients with MD.
MD can be understood as a manifestation of migraine such that patients with MD can be effectively treated with migraine therapies.
探讨梅尼埃病（MD）是耳性偏头痛的一种变异，而不是一种孤立的内耳疾病的理论。
与一般人群中约 12%患有偏头痛的比例相比，51-60%的 MD 患者经历偏头痛。尽管内淋巴积水是 MD 的特征性表现，但前庭性偏头痛患者也存在内淋巴积水。采用综合神经感觉康复方法（饮食和生活方式改变、镁和核黄素补充，以及必要时预防性药物治疗）治疗潜在的偏头痛过程，对 MD 患者非常有效。
MD 可以被理解为偏头痛的一种表现，因此 MD 患者可以通过偏头痛治疗来有效治疗。
