前庭性偏头痛的研究现状

Research status of vestibular migraine

前庭性偏头痛（vestibular migraine,VM）为眩晕和偏头痛共存的良性复发性眩晕,其反复发作严重影响患者的生活质量,近年来受到学者们的极大关注。眩晕和偏头痛均是神经内科的常见症状,在排除了年龄和性别混杂因素后,偏头痛患者容易出现眩晕发作,眩晕患者也容易并发偏头痛。

Pathogenesis, clinical characteristics and treatments of vestibular migraine（VM） in recent years were retrospectively analyzed. The results showed that VM had diversified vestibular symptoms. VM may show a mild central and peripheral vestibular dysfunction during ictal and interictal period. Although no specificity, it could provide important references to identify VM. The pathogenesis of VM, which depended upon the clues of migraine, had been supposed to be probably related to genetic susceptibility, neurotransmitter changes induced by trigeminal nerve, and abnormal integration of central signal, and further exploration of functional abnormalities in brain-related areas showed by functional imaging technology may shed light on the pathogenesis of VM. Until now, the pharmacotherapies of VM have been still based on the treatment of migraine and the efficacy remains to be clarified.