편두통성 어지럼증에 대한 임상적 분석

Abstract

Background and Objectives：Migraine can cause vestibular symptoms and the possible link between Menieres disease and migraine is suggested. The purpose of this study is to asses the various clinical manifestations of the migrainous vertigo and otologic symptoms associated of migraine in a dizziness clinic. Subjects and Method：40 patients diagnosed as migrainous vertigo in the dizziness clinic during the last 6 months. We had patients record their history by filling out questionaires and complete neurotologic examinations, and had them perform audiologic tests. Electro-nystagmo-graphy was also tested. Results：The age was distributed between 11 to 62 and the mean age was 37 years old. Patients who were co-diagnosed with migraine and Menieres disease was 7 (18% ), whereas 22 and 21 patients had tinnitus (55% ) and ear-fullnes (52% ). Twelve patients (30% ) with tinnitus and earfullnes had migraine headache and vertigo attacks at the same time. The vertigo duration was various and did not have constant paterns. The seven young and middle aged patients had idiopathic unilateral low frequency sensorineural hearing los or unilateral moderate sensorineural hearing los；1 patients (27% ) had canal weaknes (>25% ) (45% ) patients had or has had motion sickness and 8 patients had vertigo related with optokinetic stimulations. Conclusion：The migrainous vertigo has various cli-nical manifestations and vertigo durations. The characteristics of vertigo is not temporally asociated with headaches. We think that the most important diagnostic point of migrainous vertigo is migrainer or not. (Korean J Otorhinolaryngol-Head Neck Surg 2007 ;50 :1092-7)