편두통성 현훈 환자의 임상 양상

박홍주; 신정은; 심대보; 신향애; 임상균; 안재윤; 정용수

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자료유형: 학술저널

저자정보: 박홍주 신정은 심대보 신향애 임상균 안재윤 정용수

저널정보: 대한이비인후과학회 대한이비인후-두경부외과학회지 대한이비인후과학회지 두경부외과학 제50권 제3호

발행연도: 2007.1

수록면: 209 - 214 (6page)

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연구주제

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연구배경

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연구방법

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Background and Objectives：The clinical association between migraine and vestibular symptoms has been indicated in many studies and it is believed that migraine-associated vertigo is one of the most common Subjects and Method：We investigated the nature of vestibular and migrainous symptoms of 26 patients suffering vertigo associated with migraine and their responses to antimigrainous medications. Neurotologic tests such as oculomotor tests, caloric test, and audiometry were performed between attacks. Results：A marked female predominance was found. The duration of rotational (77% ) and/or to-and-fro vertigo (23% ) lasted from a few seconds to several hours or, less frequently, even days. We found that patients showed vestibular abnormalities in central and peripheral types. In the symptom-free interval, 31% of the ic latency and horizontal saccadic pursuit. On the other hand, 15% showed unilateral weakness in the caloric test and 15% showed positive results in the head thrust tests. Overall, 85% of patients experienced resolution or significant reduction of their attacks of vertigo with medication. Conclusion：Most patients with migraine-associated vertigo showed normal results on the vestibular tests and responded well to preventive medication. Migraine-associated vertigo caused various clinical manifestations and there should be relevant diferential diagnosis for epiodic vertigo. (Korean J Otolaryngol 2007 ;50 :209-14)

#현훈·어지럼·편두통·전정질환. #Vertigo· Dizzines· Migraine· Vestibular disease.

참고문헌 (17)

참고문헌 신청

/ / Episodic vertigo in basilar artery migraine : 239 ~ 50

/ / Functional properties of neurons in the monkey superior colliculus Coupling of neuronal activity and saccade onset : 1 ~ 16

/ / Neuro-otological manifestations of migraine : 1123 ~ 4 42

/ / Vestibular testing in basilar artery migraine : 126 ~ 30

/ 1996 / Neural control of voluntary movement initiation 274 (5286) : 427 ~ 430

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