探讨经颅多普勒与眼震视图对前庭型偏头痛的诊断价值  

To explore the diagnostic value of Transcranial Doppler and Video-electronystagmography in vestibular migraine

作　　者：王若璐 成关梅 张斌[1] WANG Ruolu;CHENG Guanmei;ZHANG Bin(Department of Neurology,The Fifth Affiliated Hospital of Guangzhou Medical University,Guangzhou 510700,China)

机构地区：[1]广州医科大学附属第五医院神经内科,广东广州510700 [2]茂名市人民医院神经内科,广东茂名525000

出　　处：《中风与神经疾病杂志》2021年第11期980-983,共4页Journal of Apoplexy and Nervous Diseases

基　　金：2018年度广东省科技创新战略专项资金(基础与应用基础研究方向)(487)。

摘　　要：目的对前庭型偏头痛(VM)患者进行眼震视图(VNG)及颅内多普勒血流图(TCD)检查,分析两种检查结果并进行探讨。方法收治前庭型偏头痛患者60例作观察组,同期选择健康成人55例作对照组,均行颅内多普勒检查及眼震视图检查,比较前庭型偏头痛患者与健康成人的颅内多普勒血流图检查及眼震视图检查(包括自发性眼震试验、凝视试验、平稳跟踪试验、扫视试验、视动试验、冷热水试验)的结果。结果前庭型偏头痛患者的颅内多普勒血流图检查、扫视试验、平稳跟踪试验、视动试验及冷热水试验的异常率高于健康成人,差异有统计学意义(P<0.05)。结论颅内多普勒血流图检查及眼震视图检查对于前庭性偏头痛患者是有效的检查方式,为前庭型偏头痛患者提供客观的诊断依据,有助于前庭型偏头痛患者的临床诊断及对其前庭功能和颅内血流进行评估。Objective Toperform Transcranial Doppler(TCD)tests and Video-electronystagmography(VNG)were performed on patients with Vestibular Migraine(VM),and the results of the two examinations were analyzed and discussed.Methods Sixty patients with VM were treated as observation group,and fifty-five healthy adults were selected as control group during the same period.All patients were tested by TCD and VNG(including Spontaneous Nystagmus Test,Gaze Test,Smooth follow-up test,Saccade Test,Visual test and Caloric test),and the results of TCD and VNG between VM patients and healthy adults were compared.Results The abnormal rates of Transcranial Doppler,Saccade Test,Smooth follow-up test,Visual test and Caloric test were higher in vestibular patients than in healthy adults,and the differences were statistically significant(P<0.05).Conclusion Transcranial Doppler and Video-electronystagmography are effective methods and provide objective diagnostic basis for patients with VM.They are helpful for clinical diagnosis and assessment of vestibular function and intracranial blood flow in patients with VM.

关 键 词：前庭型偏头痛 前庭功能 眼震视图 颅内多普勒血流图 

分 类 号：R747.2[医药卫生—神经病学与精神病学]