摘要
梅尼埃病(Ménière's disease,MD)和前庭性偏头痛(vestibular migraine,VM)是临床常见的两种发作性眩晕疾病。二者的临床表现有大量相似之处。VM患者常表现出与MD类似的听觉和前庭症状,MD患者也存在偏头痛特征,如头痛、畏光、偏头痛家族史阳性。因此,区分MD与VM是一项具有挑战性的工作,特别是在疾病的早期。尽管这两种疾病在很多方面有所重叠,但在流行病学特点、临床症状、实验室检查等方面仍有一些核心特征可供识别。然而,目前尚没有一种高度特异性的检查或生物学标志可区别二者,临床工作中医生需结合症状、体征、检查等多方面特征对MD和VM进行鉴别。
Ménière's disease(MD)and vestibular migraine(VM)are two common episodic vertigo disorders.Patients with VM often exhibit auditory and vestibular symptoms similar to those of MD.Patients with MD are also prone to migraine features such as headache,photophobia,and a positive family history of migraine.Therefore,differentiating MD from VM is challenging,especially in the early stages of the disease.Although the two diseases overlap in many ways,some core features in terms of demographic characteristics,clinical symptoms,and laboratory tests can be used to identify them.However,a highly specific test or biological marker to distinguish the two is not available.Physicians may combine various features such as symptoms,signs,and tests to differentiate MD and VM.
作者
孙政涛
刘博
张祎
吴悦
SUN Zhengtao;LIU Bo;ZHANG Yi;WU Yue(Key Laboratory of Otolaryngology Head and Neck Surgery,Beijing Institute of Otolaryngology,Otolaryngology—Head and Neck Surgery,Ministry of Education,Beijing Tongren Hospital,Capital Medical University,Beijing 100730,China)
出处
《听力学及言语疾病杂志》
北大核心
2025年第5期495-501,共7页
Journal of Audiology and Speech Pathology
关键词
梅尼埃病
前庭性偏头痛
临床特点
机制
鉴别诊断
Meniere's diseases
Vestibular migraine
Clinical features
Mechanisms
Differential diagnosis
作者简介
通信作者:刘博(Email:trliubo@139.com)。
