临床和客观测试 西门口偏头痛的特征:诊断和管理的含义
M Vyas1, Ph Chandra2, R Jain3
11Department of Ayurveda, Sanskriti University, Mathura, Uttar Pradesh, India.
Georgian medical news
|October 8, 2023
概括
静脉偏头痛 (VM) 在发作期间以低速度的眼动为特征. 标准的音频前庭检测在VM患者中通常是正常的,这表明了独特的诊断形状.
科学领域:
- 神经学 神经学
- 眼科医生 眼科 眼科
- 静脉管系统疾病 静脉管系统疾病
背景情况:
- 静脉偏头痛 (VM) 是经常出现的常见原因.
- 脑膜炎的诊断标准通常依赖于偶发性和偏头痛症状.
- 在VM诊断中,特定的眼动和前庭功能在VM诊断中的作用需要进一步阐明.
研究的目的:
- 通过检查年龄,单边测试和在ictal和interictal期间眼等因素来定义前庭偏头痛 (VM).
- 评估VM患者自发性和定位性阴沉的特征.
- 评估标准音频前庭功能测试在诊断VM中的实用性.
主要方法:
- 110名患有复发性的成年人接受了VM的诊断评估.
- 收集的数据包括患者的人口统计学,的特征和眼动记录 (动,眼).
- 进行了标准的前庭检测,如视频头部脉冲测试 (vHIT),热量测试和听力测试.
主要成果:
- 头痛 (85.3%),旋转 (76.2%) 和登陆不良 (60.2%) 是常见的抱怨.
- 在发作后,75.2%的VM患者观察到自发眼,明显高于发作期间 (16.5%).
- 在VM患者中,标准的音频前庭检测,包括vHIT,热量和听力测量,在很大程度上是正常的 (98.6%的正常vHIT,86.4%的对称热量,89.3%的正常听力测量).
结论:
- 低速度的眼睛运动,包括水平,垂直或扭转的眼,在前体偏头痛事件中发生.
- 患有前庭偏头痛的患者在标准的音频前庭功能测试中经常表现出正常的发现.
- 这些发现强调了特定眼动分析的重要性,并表明正常前庭检测结果并不排除VM.
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