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전정편두통 환자에서 증상의 발생 순서와 전정기능이상의 관계

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Alternative Title
Relationship between Chronological Orders of Symptoms and Vestibular Abnormality in Patients with Vestibular Migraine
Abstract
Objectives: Pathophysiology of vestibular migraine (VM) is still controversial.
Vertigo may act as a trigger for migraine or there might other mechanisms which
cause migraine and dizziness. VM patients have headaches and dizziness simultaneously
or sequentially. Therefore, we hypothesized that the sequence of symptoms
might suggest different mechanisms and compared the results of vestibular function
tests (VFTs) according to chronological order of headache and vertigo.
Methods: Forty-two patients with VM were included. They were divided into
three subgroups according to the chronological orders of headache and vertigo,
and the results of VFTs and the symptomatic improvement were compared
between each group.
Results: Dizziness appeared first in 15 patients (35.7%), both symptoms appeared
simultaneously in 20 patients (47.6%), and headaches appeared first in 7 (16.7%).
There were no significant differences in symptom duration among the groups.
Fourteen (33.3%) showed abnormal caloric results, 7 (16.7%) in head impulse
test, 16 (38.1%, vestibular score) and 19 (45.2%, composite score) in sensory
organizing test, and 13 (31.0%) in vestibular evoked myogenic potential test.
Abnormal rate of the caloric test in the simultaneous group was significantly
lower than those of the other two groups. Nineteen (45.2%) showed complete
remission in 3 months after preventive medication with no significant difference
between each group.
Conclusions: VM patients whose vertigo occurred with headache simultaneously
showed lower incidence of caloric abnormality, suggesting that they have
abnormality in central vestibular system rather than peripheral vestibular organs.
Author(s)
곽장욱박준우박홍주이상훈이세은최연주하승철
Issued Date
2021
Type
Article
Keyword
Migraine disordersHead impulse testVertigoHeadacheSemicircular canals
DOI
10.21790/rvs.2021.20.2.51
URI
https://oak.ulsan.ac.kr/handle/2021.oak/8500
https://ulsan-primo.hosted.exlibrisgroup.com/primo-explore/fulldisplay?docid=TN_cdi_nrf_kci_oai_kci_go_kr_ARTI_9796538&context=PC&vid=ULSAN&lang=ko_KR&search_scope=default_scope&adaptor=primo_central_multiple_fe&tab=default_tab&query=any,contains,Relationship%20between%20Chronological%20Orders%20of%20Symptoms%20and%20Vestibular%20Abnormality%20in%20Patients%20with%20Vestibular%20Migraine&offset=0&pcAvailability=true
Publisher
대한평형의학회지
Location
대한민국
Language
한국어
Citation Volume
20
Citation Number
2
Citation Start Page
51
Citation End Page
57
Appears in Collections:
Medicine > Medicine
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