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患有突然神经感官听力损失的患者的偏头痛特征

Yalda Yazdani¹, Ella J Lee¹, Amanda Francis¹

¹Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, USA.

Otolaryngology--head and neck surgery : official journal of American Academy of Otolaryngology-Head and Neck Surgery

|March 9, 2026

概括

偏头痛的特征在突然感觉神经听力损失 (SSNHL) 患者中很常见,几乎一半的患者符合诊断标准. 像听觉充实和同侧头痛这样的症状预测SSNHL中偏头痛.

科学领域:

神经学神经学
耳鼻喉科耳鼻喉科耳鼻喉科
流行病学流行病学

背景情况:

突然感觉神经听力损失 (SSNHL) 是一种耳部紧急情况.
偏头痛是一种常见的神经疾病,具有复杂的病理生理学.
不过,SSNHL和偏头痛之间的关系尚不清楚.

研究的目的:

确定诊断为SSNHL的患者中偏头痛特征的流行率.
在SSNHL人群中确定与偏头痛相关的临床因素.

主要方法:

一项基于调查的回顾性研究在一个单一的三级护理中心进行.
168名患有SSNHL的成年患者使用国际头痛疾病分类第三版 (ICHD-3) 偏头痛诊断标准进行评估.
进行了单变量和多变量逻辑回归分析以确定关联.

主要成果:

46%的SSNHL患者完全符合ICHD-3偏头痛标准;另外23%的人符合大多数标准.
在听力损失之前的听力充实,SSNHL和头痛的协同侧向性,超音量,耳痛和运动恶心与偏头痛有显著的关联.
89%的患有偏头痛和SSNHL的患者在头痛的同一侧经历了SSNHL.

结论:

偏头痛在SSNHL患者中非常普遍.
临床指标,如听觉充实和双侧头痛强烈暗示偏头痛在SSNHL患者.
共同的血管和神经性机制可能是偏头痛和SSNHL的共同发生的基础,需要进一步调查和有针对性的管理策略.

关键词:

耳偏头痛是一种偏头痛.头痛是一种头痛.偏头痛偏头痛偏头痛偏头痛突然的感觉神经神经听力损失.

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