Point prevalence of vertigo and dizziness in a sample of 2672 subjects and correlation with headaches
Point prevalence of vertigo and dizziness in a sample of 2672 subjects and correlation with headaches
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DOI：
10.14639/0392-100x-847
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发表时间：
2016-06-01
影响因子：
2
通讯作者：
Bussi, M.
中科院分区：
文献类型：
--
作者：
Teggi, R.;Manfrin, M.;Bussi, M.
眩晕和眩晕是一般人群中常见的症状，估计患病率在20%至56%之间。我们工作的目的是评估这些症状在2672名受试者中的点患病率。患者被要求回答一份问卷;在第一部分，他们被问及人口统计学数据和以前的眩晕和/或头晕。样本的平均年龄为48.3 ± 15岁，46.7%为男性。共1077个（40.3%）的受试者在其一生中提及眩晕/头晕，首次眩晕发作的平均年龄为39.2 ± 15.4岁;在第二部分中，他们被问及眩晕的特征，（首次发作年龄，旋转性眩晕，复发发作，体位性加重，存在耳蜗症状）和终生存在中度至重度头痛及其临床特征（偏颅型、搏动型、与幻听和恐声症相关、努力时更糟）。年龄和性别的影响得到证实，女性的症状增加4.4倍，50岁以上的人增加1.8倍。在2672名应答者的总样本中，13.7%提到旋转感，26.3%复发发作，12.9%位置恶化和4.8%耳蜗症状; 34.8%提到一生中头痛。患有头痛的受试者表现出复发发作、体位性加重、耳蜗症状的发生率增加，并且首次眩晕/头晕发作的发生年龄较低。在讨论中，我们的数据与以前的研究进行了比较，我们强调眩晕/头晕从一侧和头痛与偏头痛的特点之间的关系。
Vertigo and dizziness are common symptoms in the general population, with an estimated prevalence between 20% and 56%. The aim of our work was to assess the point prevalence of these symptoms in a population of 2672 subjects. Patients were asked to answer a questionnaire; in the first part they were asked about demographic data and previous vertigo and or dizziness. Mean age of the sample was 48.3 +/- 15 years, and 46.7% were males. A total of 1077 (40.3%) subjects referred vertigo/dizziness during their lifetime, and the mean age of the first vertigo attack was 39.2 +/- 15.4 years; in the second part they were asked about the characteristics of vertigo (age of first episode, rotational vertigo, relapsing episodes, positional exacerbation, presence of cochlear symptoms) and lifetime presence of moderate to severe headache and its clinical features (hemicranial, pulsatile, associated with phono and photophobia, worse on effort). An age and sex effect was demonstrated, with symptoms 4.4 times more elevated in females and 1.8 times in people over 50 years. In the total sample of 2672 responders, 13.7% referred a sensation of spinning, 26.3% relapsing episodes, 12.9% positional exacerbation and 4.8% cochlear symptoms; 34.8% referred headache during their lifetime. Subjects suffering from headache presented an increased rate of relapsing episodes, positional exacerbation, cochlear symptoms and a lower age of occurrence of the first vertigo/dizziness episode. In the discussion, our data are compared with those of previous studies, and we underline the relationship between vertigo/dizziness from one side and headache with migrainous features on the other.