Department of Neurology, Jefferson Headache Center, Thomas Jefferson University, 900 Walnut St., Ste 200, Philadelphia, PA, 19107, USA.
Curr Pain Headache Rep. 2024 Jul;28(7):633-639. doi: 10.1007/s11916-024-01245-3. Epub 2024 May 23.
To review the vestibular, aural, and perceptual symptoms of vestibular migraine (VM) that may present alongside vertigo.
Increased research attention to the wide spectrum of symptoms presenting in VM patients has improved understanding of this disorder, with recent identification of five different VM phenotypes. Research into the clinical overlap between VM and other chronic vestibular syndromes such as persistent postural-perceptual dizziness and mal-de-debarquement syndrome reveals a range of vestibular symptoms and hints at pathophysiological connections between migraine and vestibular dysfunction. Studies of migraine treatment for hearing loss suggest patients presenting with aural symptoms may have an underlying diagnosis of migraine and deserve a trial of migraine preventives. Research into the neurologic basis of the perceptual disorder Alice in Wonderland syndrome has revealed brain areas that are likely involved and may help explain its prevalence in VM patients. VM is a sensory processing disorder that presents with more than just vertigo. Understanding the range of potential symptoms improves diagnosis and treatment for migraine patients whose diagnosis may be missed when only the symptoms identified in the diagnostic criteria are considered.
回顾前庭性偏头痛（VM）可能与眩晕同时出现的前庭、听觉和知觉症状。
对 VM 患者表现出的广泛症状的研究关注度增加，提高了对这种疾病的认识，最近确定了五种不同的 VM 表型。对 VM 与持续性姿势感知性头晕和晕动病综合征等其他慢性前庭综合征之间的临床重叠的研究揭示了一系列前庭症状，并暗示偏头痛和前庭功能障碍之间存在病理生理学联系。对偏头痛治疗听力损失的研究表明，出现听觉症状的患者可能存在偏头痛的潜在诊断，值得尝试偏头痛预防药物。对知觉障碍“爱丽丝梦游仙境综合征”的神经基础的研究揭示了可能涉及的大脑区域，这可能有助于解释其在 VM 患者中的高患病率。VM 是一种感觉处理障碍，不仅仅表现为眩晕。了解潜在症状的范围有助于提高偏头痛患者的诊断和治疗，因为仅考虑诊断标准中确定的症状可能会漏诊这些患者。
