Mok Barbara, Welgampola Miriam S, Rosengren Sally M
Department of Linguistics, Macquarie University, Sydney, Australia.
Neurology Department and Institute of Clinical Neurosciences, Royal Prince Alfred Hospital, Sydney, Australia.
J Vestib Res. 2025 Jan;35(1):30-38. doi: 10.3233/VES-240038. Epub 2025 Mar 27.
BackgroundVestibular migraine (VM) is a common cause of recurrent spontaneous and positional dizziness of varying durations. Short episodes of VM lasting seconds to minutes, triggered by changes in head position can resemble those of benign paroxysmal positioning vertigo (BPPV), while episodes lasting minutes to hours can mimic those of Meniere's disease (MD).ObjectiveWe aimed to compare symptoms and vestibular test results in patients with VM, BPPV and MD, where VM was categorized by episode duration.MethodsWe compared vestibular, aural and migraine symptoms, as well as cervical and ocular vestibular evoked myogenic potentials and 3D video head impulse tests, in 108 patients: 24 with BPPV, 33 with VM episodes of short duration (<10 min), 29 with VM of medium duration (≥10 min) and 22 with MD.ResultsWe found significant overlap in the symptoms of all patient groups, and no significant differences between patients with short and medium VM. Abnormal test results occurred infrequently in all groups.ConclusionsOur results confirm significant symptom overlap between BPPV or MD and VM, and suggest that VM mimics other conditions when the episode duration matches the differential diagnosis, rather than because patients with different durations of vertigo have different symptoms.
背景
前庭性偏头痛（VM）是反复出现的、持续时间各异的自发性和位置性头晕的常见原因。由头部位置变化引发的持续数秒至数分钟的VM短发作可能类似于良性阵发性位置性眩晕（BPPV），而持续数分钟至数小时的发作可能类似于梅尼埃病（MD）。
目的
我们旨在比较VM、BPPV和MD患者的症状及前庭测试结果，其中VM按发作持续时间分类。
方法
我们比较了108例患者的前庭、耳部和偏头痛症状，以及颈肌和眼肌前庭诱发肌源性电位和三维视频头脉冲测试结果，这些患者包括：24例BPPV患者、33例短发作（<10分钟）的VM患者、29例中等发作持续时间（≥10分钟）的VM患者和22例MD患者。
结果
我们发现所有患者组的症状有显著重叠，短发作和中等发作的VM患者之间无显著差异。所有组的测试结果异常情况均不常见。
结论
我们的结果证实了BPPV或MD与VM之间存在显著的症状重叠，并表明当发作持续时间与鉴别诊断相符时，VM会模仿其他病症，而非因为眩晕持续时间不同的患者有不同症状。
