Clinical Manifestation and Prognosis of Vestibular Migraine According to the Vestibular Function Test Results
2
조회
0
다운로드
1
인용
0
참고문헌
초록
Background and Objectives: According to previous reports, patients with vestibular migraine (VM) display variable results from vestibular function tests (VFT): central, peripheral, or normal. The aim of this study was to classify the VM patients into the three groups according to interictal VFT findings (central, peripheral or normal) and to clarify the relationship between VFT results and the clinical manifestations and prognosis in each group. Subjects and Methods: We reviewed the medical records of 81 patients diagnosed as VM using the criteria of Neuhauser, et al. between December 2004 and June 2009. Patients were divided into three groups according to the results of VFT. We compared the clinical manifestations and prognosis between groups. Characteristics including dizziness, the nature of headache, associated otologic symptoms, hearing threshold, duration of illness, and recovery time were analyzed. Results: The number of patients with central, peripheral vestibular dysfunction and normal finding in VFT were 15, 28, and 38 respectively. There were no significant differences in the nature of headache, associated otologic symptoms, hearing threshold, duration of illness, and recovery time. A small difference was observed in the mean age and characteristics of dizziness, but these were not significant. Conclusions: In patients with VM, classification according to the type of vestibular dysfunction was not helpful in the prediction of prognosis and clinical manifestations.
Abstract
Background and Objectives: According to previous reports, patients with vestibular migraine (VM) display variable results from vestibular function tests (VFT): central, peripheral, or normal. The aim of this study was to classify the VM patients into the three groups according to interictal VFT findings (central, peripheral or normal) and to clarify the relationship between VFT results and the clinical manifestations and prognosis in each group. Subjects and Methods: We reviewed the medical records of 81 patients diagnosed as VM using the criteria of Neuhauser, et al. between December 2004 and June 2009. Patients were divided into three groups according to the results of VFT. We compared the clinical manifestations and prognosis between groups. Characteristics including dizziness, the nature of headache, associated otologic symptoms, hearing threshold, duration of illness, and recovery time were analyzed. Results: The number of patients with central, peripheral vestibular dysfunction and normal finding in VFT were 15, 28, and 38 respectively. There were no significant differences in the nature of headache, associated otologic symptoms, hearing threshold, duration of illness, and recovery time. A small difference was observed in the mean age and characteristics of dizziness, but these were not significant. Conclusions: In patients with VM, classification according to the type of vestibular dysfunction was not helpful in the prediction of prognosis and clinical manifestations.
참고문헌 (21)
- Neuhauser HK, "Epidemiology of vertigo", Curr Opin Neurol, 20, pp.40~46 (2007)
- Rauch SD, "Growing awareness of migraine as a major cause of dizziness, imbalance, and vertigo", J Vestib Res, 21, pp.297~298 (2011)
- Neuhauser H, "The interrelations of migraine, vertigo, and migrainous vertigo", Neurology, 56, pp.436~441 (2001)
- Radtke A, "Vestibular migraine--validity of clinical diagnostic criteria", Cephalalgia, 31, pp.906~913 (2011)
- 고의경, "국내에서 편두통성 현훈의 임상 양상 및 치료에 대한 다기관 연구", Research in Vestibular Science, 8(2), pp.122~131 (2009), 대한평형의학회
- Furman JM, "Migraine-anxiety related dizziness (MARD): a new disorder?", J Neurol Neurosurg Psychiatry, 76, pp.1~8 (2005)
- Vass Z, "Co-localization of the vanilloid capsaicin receptor and substance P in sensory nerve fibers innervating cochlear and vertebro-basilar arteries", Neuroscience, 124, pp.919~927 (2004)
- Baloh RW, "Neurotology of migraine", Headache, 37, pp.615~621 (1997)
- von Brevern M, "Acute migrainous vertigo: clinical and oculographic findings", Brain, 128(Pt 2), pp.365~374 (2005)
- Furman JM, "Migrainous vertigo : development of a pathogenetic model and structured diagnostic interview", Curr Opin Neurol, 16, pp.5~13 (2003)
- Johnson GD, "Medical management of migraine-related dizziness and vertigo", Laryngoscope, 108(1 Pt 2), pp.1~28 (1998)
- Moon IS, "Isolated nodular infarction", Stroke, 40, pp.487~491 (2009)
- Kim JS, "Isolated perverted head-shaking nystagmus in focal cerebellar infarction", Neurology, 64, pp.575~576 (2005)
- Strupp M, "Central oculomotor disturbances and nystagmus : a window into the brainstem and cerebellum", Dtsch Arztebl Int, 108, pp.197~204 (2011)
- Kattah JC, "HINTS to diagnose stroke in the acute vestibular syndrome : three-step bedside oculomotor examination more sensitive than early MRI diffusion-weighted imaging", Stroke, 40, pp.3504~3510 (2009)
- Radtke A, "Vestibular migraine : long-term follow-up of clinical symptoms and vestibulo-cochlear findings", Neurology, 79, pp.1607~1614 (2012)
- Cutrer FM, "Migraine-associated dizziness", Headache, 32, pp.300~304 (1992)
- Atkinson M, "Migraine and Meniere’s disease", Arch Otolaryngol, 75, pp.220~225 (1962)
- Rassekh CH, "The prevalence of migraine in Menière’s disease", Laryngoscope, 102, pp.135~138 (1992)
- Parker W., "Menière’s disease. Etiologic considerations", Arch Otolaryngol Head Neck Surg, 121, pp.377~382 (1995)
- Lempert T, "Epidemiology of vertigo, migraine and vestibular migraine", J Neurol, 256, pp.333~338 (2009)