Cha Yoon-Hee
Department of Neurology, Minneapolis, MN.
Otol Neurotol Open. 2023 Sep 12;3(3):e040. doi: 10.1097/ONO.0000000000000040. eCollection 2023 Sep.
Vestibular migraine represents a growing public health problem, imposing enormous societal burdens in the form of patient suffering, loss of productivity, and direct healthcare costs. This raises the question of how we developed our ideas about vestibular migraine and how these ideas shape how we treat it. This review walks through the history of how our conceptualization of migraine and vestibular symptoms evolved, starting with clinical observations in ancient times, inclusion under the umbrella of Meniere's disease, and then separation from Meniere's disease with its own identity. Tradition, clinical observations, and diagnostic criteria developed by professional societies have played prominent roles in building our current concept of vestibular migraine. A review of the ideas that have shaped our current conception of vestibular migraine may help us to see which ones have stood the test of time and which ones should continue to evolve. As in other disciplines, we study history in medicine to be inspired, warned, and sometimes, to be freed.
前庭性偏头痛是一个日益严重的公共卫生问题，以患者痛苦、生产力丧失和直接医疗成本的形式给社会带来了巨大负担。这就引出了一个问题：我们是如何形成关于前庭性偏头痛的观点的，以及这些观点如何影响我们对它的治疗方式。这篇综述梳理了我们对偏头痛和前庭症状的概念化是如何演变的历史，从古代的临床观察开始，被纳入梅尼埃病的范畴，然后与梅尼埃病分离并拥有了自己的身份。传统、临床观察以及专业学会制定的诊断标准在构建我们当前的前庭性偏头痛概念中发挥了重要作用。回顾那些塑造了我们当前前庭性偏头痛概念的观点，可能有助于我们看清哪些经受住了时间的考验，哪些应该继续发展。与其他学科一样，我们研究医学史是为了获得启发、得到警示，有时也是为了解脱。
