前庭性偏头痛患者的临床特点及眼震电图研究Study of electronystagmogram and clinical characteristics of patients with vestibular migraine
王金辉;刘波;
摘要(Abstract):
目的探讨前庭性偏头痛(VM)临床特点及不同条件诱发的眼震特点。方法收集VM患者、无眩晕和偏头痛的健康对照组各100例,记录各组研究对象的临床资料,利用视频眼震图仪(VNG)观察VM患者于不同诱发条件下眼震电图的特点。结果 VM以围绝经期女性高发,62例表现为自发性眩晕,29例位置性眩晕,2例自发性眩晕与位置性眩晕共存,3例头部活动诱发性眩晕,2例视觉诱发性眩晕,其他类型2例。眩晕持续时间从数秒到数天不等,以1~24 h为主,86例眩晕发作时存在先兆症状。23例表现为先兆性偏头痛,59例无先兆性偏头痛,18例偏头痛性症状。56例伴恶心、呕吐,17例伴耳鸣、听力下降。61例VM发作存在以压力、睡眠不足为主的诱发因素。VM组63例出现异常眼震,其中视动性眼震(OKN)次数显著高于对照组(P<0.05),变位眼震的各项指标与对照组比较无明显差异(P>0.05),变位眼震以坐位-右仰悬头位、坐位-左侧卧位的发生率较高,变温眼震CP值(不对称比)有明显差异(P<0.05)。结论 VM临床表现复杂多样,其诊断标准仅为眩晕与偏头痛的症状学组合,缺乏客观评价依据。眼震的出现提示患者可能存在外周前庭与中枢前庭功能损害,可应用眼震电图作为其诊断的辅助检查。
关键词(KeyWords): 前庭性偏头痛;眩晕;偏头痛;临床特点;眼震电图
基金项目(Foundation): 包头市科技创新能力建设项目(编号:2018C2007-1-12)
作者(Authors): 王金辉;刘波;
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