Different types of dizziness in patients with peripheral vestibular diseases – their prevalence and relation to migraine
Different types of dizziness in patients with peripheral vestibular diseases – their prevalence and relation to migraine
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DOI：
10.3109/00016481003671236
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发表时间：
2010-08
影响因子：
1.4
通讯作者：
Tatjana Tomanovic;J. Bergenius
中科院分区：
文献类型：
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作者：
Tatjana Tomanovic;J. Bergenius
摘要结论：在50%的外周前庭功能障碍患者中，除自发性眩晕或不稳外，还有其他症状，如跌倒、侧视、错觉房间或身体倾斜、“枕着走路”或“踩洞”，但没有引起头部运动。静态倾斜感觉与偏头痛和梅尼埃病(MD)密切相关。目的：记录与前庭诊断有关的不同症状的发生率及其与偏头痛的关系。方法：分析100例MD、良性阵发性位置性眩晕(BPPV)或单侧外周前庭功能障碍(UPVI)患者的临床资料。结果：74%的患者自发性眩晕发作，48%的患者出现不稳定自发性发作。眩晕在MD和BPPV患者中的报告明显更多。BPPV患者的自发性眩晕持续时间短于MD患者。其他症状的相对发生率为：站立不稳，48%；“走进洞里”，46%；侧视，35%；“枕头走路”，21%；跌倒，19%。只有在8%的患者中出现的静态倾斜感觉与MD或偏头痛显著相关。
Abstract Conclusions: Besides spontaneous attacks of vertigo or unsteadiness, other symptoms, i.e. drop attacks, lateropulsion, illusions that the room or body is tilted, ‘walking on pillows’ or ‘stepping into a hole’, occur without precipitating head movement in almost 50% of patients with peripheral vestibular dysfunctions. The sensation of static tilt was closely connected to migraine and Meniere's disease (MD). Objectives: To record the prevalence of the different symptoms with respect to vestibular diagnosis and its relation to migraine. Methods: Data from 100 patients with MD, benign paroxysmal positional vertigo (BPPV), or unilateral peripheral vestibular impairment (UPVI) were analyzed with respect to vestibular diagnosis and migraine as a secondary diagnosis. Results: Spontaneous attacks of vertigo or unsteadiness occurred in 74% and 48% of patients, respectively. Vertigo was significantly more often reported in patients with MD and BPPV. In patients with BPPV, the duration of spontaneous vertigo was shorter than in patients with MD. The relative incidence of other symptoms were: unsteadiness, 48%; ‘stepping into a hole’, 46%; lateropulsion, 35%; ‘walking on pillows’, 21%; and drop attacks, 19%. Only the sensation of static tilt, which occurred in 8% of patients, was significantly correlated to MD or to migraine.