紧张型头痛患者的头晕和眩晕：一项病例对照研究。

Dizziness and vertigo in patients with tension-type headache: A case-control study.

机构信息

Department of Neurology, Smt. B. K. Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth, Piparia, Waghodia, 391760, Vadodara Gujarat, India.

Department of Medicine, Index Medical College, Hospital Research CentreIndex City, Nemawar Road, Madhya, 452016, Indore, Pradesh, India.

出版信息

Neurol Sci. 2024 Jan;45(1):261-268. doi: 10.1007/s10072-023-06970-y. Epub 2023 Jul 24.

DOI:10.1007/s10072-023-06970-y

PMID:37488234

Abstract

BACKGROUND

A few studies have demonstrated dizziness and vertigo in patients with tension-type headache (TTH). However, the prevalence and other characteristics of vestibular symptoms in TTH has not been studied in a systemic manner so far. The aim of the study was to see the prevalence of vestibular symptoms in patients with tension-type headache as compared with controls.

METHODS

This case-control study included 100 TTH patients and 100 controls who do not have significant history of headaches.

RESULTS

Vestibular symptoms (Vertigo, dizziness, vestibulovisual or postural symptom) were experienced by 25% of patients with TTH and 10% in the control group (Odd Ratio = 3.0 [95% CI, 1.4-6.6], P = .006). The vestibular symptoms were statistically more in patients with chronic tension-type headache (CTTH) than episodic TTH (67% vs 9%. 9, P5 = < 0.005). Hospital Anxiety and Depression score (HAD-A and HAD-D) scores in patients with TTH with vestibular symptoms were significantly higher than TTH without vestibular symptoms- HAD-A (5.1 ± 1.7 vs 4.0 ± 1.5, P = 0.002) and HAD-D(5.8 ± 2.1 vs 4.2 ± 1.9, P = < 0.001). Phonophobia was also more frequent in TTH patients with vertigo (42% vs.13%, P5 = 0.005).

CONCLUSION

Vestibular symptoms may be more common in patients TTH than control. The prevalence of vestibular symptoms depends on the frequency of TTH.

摘要

背景

有几项研究表明紧张型头痛（TTH）患者存在头晕和眩晕。然而，迄今为止，尚未系统地研究 TTH 患者前庭症状的患病率和其他特征。本研究的目的是观察与对照组相比，紧张型头痛患者前庭症状的患病率。

方法

本病例对照研究纳入了 100 例 TTH 患者和 100 例无明显头痛史的对照组。

结果

25%的 TTH 患者和 10%的对照组出现前庭症状（眩晕、头晕、前庭视觉或姿势症状）（比值比=3.0[95%置信区间，1.4-6.6]，P=0.006）。慢性紧张型头痛（CTTH）患者的前庭症状明显多于发作性 TTH（67%比 9%，P5<0.005）。有前庭症状的 TTH 患者的医院焦虑和抑郁量表（HAD-A 和 HAD-D）评分明显高于无前庭症状的 TTH 患者-HAD-A（5.1±1.7 比 4.0±1.5，P=0.002）和 HAD-D（5.8±2.1 比 4.2±1.9，P<0.001）。TTH 伴眩晕患者对声音敏感也更为常见（42%比 13%，P5=0.005）。