持续的姿势感知性头与前置性偏头痛:一个叙述性回顾
David Moreno-Ajona1,2,3
1Headache Group, NIHR King's Clinical Research Facility & SLaM Biomedical Research Centre, King's College London, London, UK.
Headache
|October 28, 2025
概括
持续的姿势感知性头 (PPPD) 和前庭偏头痛 (VM) 具有共同的症状,但在分类和治疗方面有所不同. 区分这些前体疾病是有效的患者管理和向治疗的关键.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经科学是一个神经科学.
背景情况:
- 持续的姿势感知性头 (PPPD) 是一种慢性功能前体障碍,伴有持续的头和不稳定.
- 静脉偏头痛 (VM) 是偶发性的常见原因,经常被误诊并与PPPD重叠.
- 了解区别和重叠对于准确的诊断和管理至关重要.
研究的目的:
- 审查PPPD和VM之间的差异和相似之处.
- 探索诊断标准,病理生理学和差异诊断.
- 强调识别偏头痛症状的重要性,以指导治疗.
主要方法:
- 从2000年1月到2025年3月进行的文献搜索.
- 专注于最近的出版物讨论PPPD和VM.
- 对诊断标准,病理生理学和治疗方法的分析.
主要成果:
- PPPD被归类为一种功能障碍,与VM的神经基础不同.
- 偏头痛预防 (例如,flunarizine,CGRP抑制剂) 对VM有效.
- 垂体康复疗法是PPPD的主要治疗方法.
结论:
- 多学科的方法对于PPPD和VM的最佳患者结果至关重要.
- 需要对PPPD患者的并发性偏头痛治疗进行进一步的研究.
- 在疾病谱中识别不同的表型可能会改善治疗策略.
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