偏头痛与眩晕、耳鸣、听力下降  

Migraine and Vertigo.Tinnitus and Hearing loss

作　　者：袁庆[1] 程秀琴[1] 李江[2] 余力生 柯星星[1] 

机构地区：[1]新疆维吾尔自治区人民医院耳鼻喉二科,新疆830001 [2]新疆维吾尔自治区人民医院神经内二科,新疆830001 [3]北大人民医院耳鼻喉科,北京100044

出　　处：《中华耳科学杂志》2014年第2期242-245,共4页Chinese Journal of Otology

基　　金：科技部"十二五"科技支撑计划(2012年2012BAI12B02)基金支持:耳源性眩晕机制及诊治方法方案研究

摘　　要：目的观察偏头痛患者的神经耳科学改变;方法回顾性总结321例偏头痛患者的神经耳科学表现,并将其按有无眩晕分成伴眩晕组和不伴眩晕组。所有存在与偏头痛相关的耳部症状的患者进行纯音测听、听性脑干反应及耳鸣匹配检查,所有存在与偏头痛相关的眩晕患者行前庭功能检查。结果 25.5%(82/321)的偏头痛患者伴有眩晕,7.5%(24/321)的患者有耳鸣症状,2.8%(9/321)的患者自觉听力下降,8.4%(27/321)的患者纯音测听异常,9.0%(29/321)的患者听性脑干反应异常(表现为各波绝对潜伏期延长和或波间期延长)。对比两组耳鸣发生率、纯音测听、听性脑干异常率,有显著性差异。结论伴随眩晕的偏头痛患者更易出现前庭耳蜗症状,本文旨在加深耳鼻喉科医生对偏头痛在耳蜗及前庭器官上所产生的影响的认识,从而对其在接诊偏头痛患者时做出更加精准的评估、诊断提供帮助。Objective To investigate audiovestibular dysfunctions in cases of migraine. Methods This was a retrospec-tive study involving 321 cases of migraine , with or without audiovestibular dysfunction such as vertigo. tinnitus and hearing loss. Cases were divided into 2 groups based on the presence or absence of vertigo. All patients with auditory symptoms under-went detailed otological and neurootological examinations followed by audiological investigation including pure tone audiome-try and auditory brainstem-evoked responses, as well as tinnitus matching. All patients with vertigo underwent vestibular func-tion test. Results Of the 321 patients, 82 （25.5%） had vertigo, 24 （7.5%） had tinnitus, 9 （2.8%） reported hearing loss, 27 （8.4%） had documented hearing loss on pure tone audiometry, and 29 （9.0%） showed some abnormalities in auditory brain-stem-evoked responses （ABR） in the form of prolonged absolute latency or prolonged interwave peak latencies or both. The dif-ferences in tinnitus and hearing loss between patients with and patients without vertigo were statistically significant. Conclu-sion It can thus be said that patients with migraine with vertigo are more likely to have cochleovestibular affection. This study is another step toward understanding audiovestibular changes in patients with migraine. This has helped us know the effects of migraine on both cochlear and vestibular apparatus, so that a detailed diagnostic evaluation can be undertaken in patients with migraine.

关 键 词：偏头疼 眩晕 耳鸣 听力下降 

分 类 号：R764.45[医药卫生—耳鼻咽喉科]