视空间感知对前庭性偏头痛病理生理学的启示。
What visuospatial perception has taught us about the pathophysiology of vestibular migraine.
机构信息
inAmind Laboratory, College of Life Sciences, University of Leicester, Leicester.
Department of Neurology, Queen Elizabeth Hospital.
出版信息
Curr Opin Neurol. 2024 Feb 1;37(1):32-39. doi: 10.1097/WCO.0000000000001232. Epub 2023 Nov 29.
PURPOSE OF REVIEW
A decade has passed since vestibular migraine (VM) was formally established as a clinical entity. During this time, VM has emerged amongst the most common cause of episodic vertigo. Like all forms of migraine, VM symptoms are most prominent during individual attacks, however many patients may also develop persistent symptoms that are less prominent and can still interfere with daily activities.
RECENT FINDINGS
Vestibular inputs are strongly multimodal, and because of extensive convergence with other sensory information, they do not result in a distinct conscious sensation. Here we review experimental evidence that supports VM symptoms are linked to multisensory mechanisms that control body motion and position in space.
SUMMARY
Multisensory integration is a key concept for understanding migraine. In this context, VM pathophysiology may involve multisensory processes critical for motion perception, spatial orientation, visuospatial attention, and spatial awareness.
目的综述：自前庭性偏头痛（VM）正式确立为一种临床实体以来，已经过去了十年。在此期间，VM 已成为发作性眩晕最常见的原因之一。与所有形式的偏头痛一样，VM 症状在个体发作期间最为明显，但许多患者也可能出现不太明显但仍会干扰日常活动的持续性症状。
最新发现：前庭输入具有强烈的多模态性，并且由于与其他感觉信息的广泛融合，它们不会产生明显的意识感觉。在这里，我们回顾了支持 VM 症状与控制身体运动和在空间中位置的多感觉机制相关的实验证据。
总结：多感觉整合是理解偏头痛的关键概念。在这种情况下，VM 的病理生理学可能涉及对运动感知、空间定位、视空间注意力和空间意识至关重要的多感觉过程。
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