CAJ | 학술논문

目的分析综合医院神经内科门诊以及住院的前庭性偏头痛(VM)患者的症候特点,以减少临床误诊和漏诊.方法连续收集2007年11月至2013年1 1月海军总医院神经内科诊断的226例VM患者的临床资料,根据病史、临床症状和体征、相应的辅助检查结果,分析本组患者的临床症候.结果本组患者平均就诊年龄51.7岁,男、女性别比1∶1.48.头痛与眩晕首次发作的时间前后顺序不固定,其中53.1％ (120/226)的患者头痛早于眩晕数年出现,症候发作持续时间从数十秒至数天不等.1.8％(4/226)患者整个病程中除眩晕症候外,无头痛症状.头颅MRI显示42例(43.3％)患者半卵圆中心内可见多个散在点状的长T2或液体衰减反转恢复(FLAIR)序列上呈高信号.结论 VM发病机制复杂,临床表现多样,发作形式有一定规律性,需注意与类似疾病的鉴别.
목적 분석종합의원신경내과문진이급주원적전정성편두통(VM)환자적증후특점,이감소림상오진화루진.방법 련속수집2007년11월지2013년1 1월해군총의원신경내과진단적226례VM환자적림상자료,근거병사、림상증상화체정、상응적보조검사결과,분석본조환자적림상증후.결과 본조환자평균취진년령51.7세,남、녀성별비1∶1.48.두통여현훈수차발작적시간전후순서불고정,기중53.1％ (120/226)적환자두통조우현훈수년출현,증후발작지속시간종수십초지수천불등.1.8％(4/226)환자정개병정중제현훈증후외,무두통증상.두로MRI현시42례(43.3％)환자반란원중심내가견다개산재점상적장T2혹액체쇠감반전회복(FLAIR)서렬상정고신호.결론 VM발병궤제복잡,림상표현다양,발작형식유일정규률성,수주의여유사질병적감별.
Objective To explore the clinical characteristics of vestibular migraine in patients from the clinic and ward of the neurological department in comprehensive hospitals.Methods A total of 226 patients diagnosed as vestibular migraine were enrolled in the study.Clinical data were collected and analyzed,including the medical history,clinical symptoms and signs,as well as the result of diagnostic examinations.Results The mean age of the patients at the visit was 51.7 years old,with the male to female ratio of 1:1.48.The occurrence of vertigo and migraine varied in order,with 53.1％ (120/226) patients presented migraine several years before vertigo.The duration time of vertigo ranged from seconds to days,with 1.8％ (4/226) patients presented no headache during the whole course.Several punctate long T2 or high FLARE (fluid attented inversion recovery) signals scattered at the centrum ovale.Conclusions Vestibular migraine has complex mechanism and presents multiple clinical manifestations with certain regularities of the onset.Differential diagnosis should be made from the similar diseases.