Castillo-Bustamante Melissa, Bhandari Anita, Çelebisoy Neşe, Whitney Susan L, Petrak Michelle R, Campo-Campo Maria N
Otolaryngology, Clinica Universitaria Bolivariana, Medellín, COL.
School of Medicine, Health Sciences School, Universidad Pontificia Bolivariana, Medellín, COL.
Cureus. 2025 Aug 9;17(8):e89705. doi: 10.7759/cureus.89705. eCollection 2025 Aug.
Vestibular disorders such as vestibular migraine (VM), benign paroxysmal positional vertigo (BPPV), Ménière's disease (MD), persistent postural-perceptual dizziness (PPPD), and vestibular neuritis (VN) are not uncommon among women of reproductive age and may occur or worsen during pregnancy. However, the management of these disorders during gestation is complicated by physiological changes, the limited safety data on many medications, and ethical constraints in clinical research involving pregnant individuals. This review focuses on the therapeutic strategies employed in managing vestibular disorders during pregnancy, highlighting pharmacological and non-pharmacological interventions, evidence-based approaches, current limitations, and areas requiring further research. Emphasis is placed on safety profiles, individualized care, and interdisciplinary collaboration to optimize maternal health while minimizing fetal risk.
前庭疾病，如前庭性偏头痛（VM）、良性阵发性位置性眩晕（BPPV）、梅尼埃病（MD）、持续性姿势性感知性头晕（PPPD）和前庭神经炎（VN）在育龄女性中并不罕见，且可能在孕期发生或加重。然而，孕期这些疾病的管理因生理变化、许多药物有限的安全性数据以及涉及孕妇的临床研究中的伦理限制而变得复杂。本综述重点关注孕期管理前庭疾病所采用的治疗策略，突出药物和非药物干预、循证方法、当前局限性以及需要进一步研究的领域。重点在于安全性概况、个体化护理以及跨学科协作，以优化母体健康同时将胎儿风险降至最低。
