视频头脉冲TCD转颈试验鉴别前庭性偏头痛与颈性眩晕的价值  

Value of video head impulse test and transcranial Doppler sonography turning-neck test on diagnosis of vestibular migraine and cervical vertigo

作　　者：邵良[1] 薛海丽 郭啸鸣[1] 杨家伟 SHAO Liang;XUE Haili;GUO Xiaoming;YANG Jiawei(The Second Affiliated Hospital of Nantong University,Nantong 226001,China)

机构地区：[1]南通大学第二附属医院,江苏南通226001

出　　处：《中国实用神经疾病杂志》2020年第23期2050-2055,共6页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨视频头脉冲和经颅多普勒试验在鉴别前庭性偏头痛与颈性眩晕中的应用价值。方法选取20例前庭性偏头痛患者为A组,22例颈性眩晕患者为B组,分别行vHIT和TCD转颈试验。结果2组VOR慢相的增益值与代偿性扫视阳性率比较,差异有统计学意义(P<0.05);其中A组VOR慢相的增益值较B组降低(P<0.05);A组代偿性扫视阳性率较B组升高(P<0.05);B组患者TCD转颈试验异常率高于A组,差异有统计学意义(P<0.05)。结论前庭性偏头痛组患者VOR慢相的增益值较颈性眩晕组降低,代偿性扫视阳性率较颈性眩晕组升高;前庭性偏头痛组TCD转颈试验异常率低于颈性眩晕组,视频头脉冲试验和经颅多普勒转颈试验可用于鉴别前庭性偏头痛与颈性眩晕中导致的眩晕。Objective To explore the value of video head impulse test(vHIT)and transcranial Doppler sonography(TCD)turning-neck test on diagnosis of vestibular migraine(VM)and cervical vertigo(CV).Methods To enrolled 20 patients with VM as A group and 22 patients with CV as B group,vHIT and TCD turning-neck test were undertaken on the subjects.Results The two groups were significantly different in the gain value of vestibular-ocular refex(VOR)slow phase and the positive rate of compensatory saccade(P<0.05);A group was lower than B group in the gain value of VOR slow phase(P<0.05).A group was higher than B group in the the positive rate of compensatory saccade(P<0.05).B group was higher in the the abnormal rate of TCD turning-neck test than A group(P<0.05).Conclusion VM patients are lower in the gain value of VOR slow phrase by vHIT and higher in the positive rate of compensatory saccade than CV patients.VM patients were lower in the the abnormal rate of TCD turning-neck test than CV patients(P<0.05).VHIT and TCD turning-neck test can be used to differentiate the vertigo caused by VM and CV.

关 键 词：眩晕 前庭性偏头痛 颈性眩晕 视频头脉冲试验 经颅多普勒 

分 类 号：R747.2[医药卫生—神经病学与精神病学]