中国现代神经疾病杂志 ›› 2019, Vol. 19 ›› Issue (1): 7-10. doi: 10.3969/j.issn.1672-6731.2019.01.003

• 专论 • 上一篇    下一篇

2 正确掌握前庭性偏头痛的诊断

李焰生, 华驾略   

  1. 201112 上海交通大学医学院附属仁济医院南院神经科
  • 出版日期:2019-01-25 发布日期:2019-01-24
  • 通讯作者: 李焰生,Email:lliyans@hotmail.com

Correctly grasp the diagnosis of vestibular migraine

LI Yan-sheng, HUA Jia-lüe   

  1. Department of Neurology, South Campus, Renji Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 201112, China
  • Online:2019-01-25 Published:2019-01-24
  • Contact: LI Yan-sheng (Email: lliyans@hotmail.com)

摘要:

“前庭性偏头痛”是早已被认识但最近方被国际头痛协会和国际 Bárány 学会认可的诊断概念。明确诊断前庭性偏头痛,首先需要熟悉诊断标准,其次需要掌握临床表现(如前庭症状性质、发作持续时间、伴随症状等),最后需要与前庭性偏头痛具有相似表现的疾病(如特殊类型偏头痛、良性发作性眩晕、良性复发性眩晕和梅尼埃病等)相鉴别。

关键词: 偏头痛, 头晕, 眩晕, 综述

Abstract:

Vestibular migraine (VM) has long been recognized but has recently been approved by the International Headache Society and the Bárány Society as a diagnostic concept. To grasp the correct diagnosis of vestibular migraine, it is necessary to be familiar with the diagnostic criteria firstly. The second is to have a good grasp of its clinical manifestations (the nature of vestibular symptoms, duration of attacks, accompanying symptoms related to migraine, etc). Finally, it is important to differentiate vestibular migraine from other conditions with similar manifestations such as migraine of special types, benign paroxysmal vertigo, benign recurrent vertigo, and Ménière's disease.

Key words: Migraine, Dizziness, Vertigo, Review