CAJ | 학술논문

目的：观察偏头痛患者的神经耳科学改变；方法回顾性总结321例偏头痛患者的神经耳科学表现，并将其按有无眩晕分成伴眩晕组和不伴眩晕组。所有存在与偏头痛相关的耳部症状的患者进行纯音测听、听性脑干反应及耳鸣匹配检查，所有存在与偏头痛相关的眩晕患者行前庭功能检查。结果25.5%（82/321）的偏头痛患者伴有眩晕，7.5%(24/321)的患者有耳鸣症状，2.8%(9/321)的患者自觉听力下降，8.4%（27/321）的患者纯音测听异常，9.0%(29/321)的患者听性脑干反应异常（表现为各波绝对潜伏期延长和或波间期延长）。对比两组耳鸣发生率、纯音测听、听性脑干异常率，有显著性差异。结论伴随眩晕的偏头痛患者更易出现前庭耳蜗症状，本文旨在加深耳鼻喉科医生对偏头痛在耳蜗及前庭器官上所产生的影响的认识，从而对其在接诊偏头痛患者时做出更加精准的评估、诊断提供帮助。
목적：관찰편두통환자적신경이과학개변；방법회고성총결321례편두통환자적신경이과학표현，병장기안유무현훈분성반현훈조화불반현훈조。소유존재여편두통상관적이부증상적환자진행순음측은、은성뇌간반응급이명필배검사，소유존재여편두통상관적현훈환자행전정공능검사。결과25.5%（82/321）적편두통환자반유현훈，7.5%(24/321)적환자유이명증상，2.8%(9/321)적환자자각은력하강，8.4%（27/321）적환자순음측은이상，9.0%(29/321)적환자은성뇌간반응이상（표현위각파절대잠복기연장화혹파간기연장）。대비량조이명발생솔、순음측은、은성뇌간이상솔，유현저성차이。결론반수현훈적편두통환자경역출현전정이와증상，본문지재가심이비후과의생대편두통재이와급전정기관상소산생적영향적인식，종이대기재접진편두통환자시주출경가정준적평고、진단제공방조。
Objective To investigate audiovestibular dysfunctions in cases of migraine. Methods This was a retrospec-tive study involving 321 cases of migraine , with or without audiovestibular dysfunction such as vertigo. tinnitus and hearing loss. Cases were divided into 2 groups based on the presence or absence of vertigo. All patients with auditory symptoms under-went detailed otological and neurootological examinations followed by audiological investigation including pure tone audiome-try and auditory brainstem-evoked responses, as well as tinnitus matching. All patients with vertigo underwent vestibular func-tion test. Results Of the 321 patients, 82 (25.5%) had vertigo, 24 (7.5%) had tinnitus, 9 (2.8%) reported hearing loss, 27 (8.4%) had documented hearing loss on pure tone audiometry, and 29 (9.0%) showed some abnormalities in auditory brain-stem-evoked responses (ABR) in the form of prolonged absolute latency or prolonged interwave peak latencies or both. The dif-ferences in tinnitus and hearing loss between patients with and patients without vertigo were statistically significant. Conclu-sion It can thus be said that patients with migraine with vertigo are more likely to have cochleovestibular affection. This study is another step toward understanding audiovestibular changes in patients with migraine. This has helped us know the effects of migraine on both cochlear and vestibular apparatus, so that a detailed diagnostic evaluation can be undertaken in patients with migraine.