前庭性偏头痛和后循环脑梗死患者眼震电图结果分析  

Analysis of electronystagmogram results in patients with vestibular migraine and posterior circulation infarction

作　　者：李一青 鞠奕[2] LI Yiqing;JU Yi(The First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China)

机构地区：[1]福建医科大学附属第一医院神经内科,福建福州350005 [2]首都医科大学附属北京天坛医院神经病学中心,北京100070

出　　处：《中风与神经疾病杂志》2022年第2期104-107,共4页Journal of Apoplexy and Nervous Diseases

基　　金：2019年重大疑难疾病中西医临床协作能力建设项目(脑梗死:-2-1-1-949-05)。

摘　　要：目的比较并描述前庭性偏头痛(vestibular migraine,VM)患者和后循环梗死(posterior circulation infarction,PCI)患者视频眼震电图参数特点。方法本研究为横断面研究,收集2018年11月-2019年11月首都医科大学附属北京天坛医院神经内科住院的PCI患者和神经内科门诊就诊的VM患者,分析并比较其视频眼震图(videonystagmography,VNG)参数特点。结果PCI患者和VM患者相比,扫视试验、视跟踪试验、视动试验、凝视诱发性眼震、自发眼震试验异常率前者明显高于后者,两组有显著差异,位置性眼震出现率无明显差异;两组患者于多种体位诱发出多种方向的眼震成分,持续时间多超过60 s。结论PCI患者的视动系统检查、自发性眼震异常率明显高于VM组,位置性眼震异常率无明显差异;视频眼震电图可能有助于两个疾病的鉴别。Objective To compare and describe the characteristics of the VNG parameters of VM patients and PCI patients.Methods This was a cross-sectional study.PCI and VM patients who were admitted to the Department of Neurology of Beijing Tiantan Hospital,Capital Medical University from November 2018 to November 2019,were examined for VNG.Results The characteristics of VNG parameters were analyzed and compared.The abnormal rates of saccade,smooth pursuit,optokinetic test,gaze-evoked nystagmus,and spontaneous nystagmus in patients with PCI were significantly higher than patients with VM,while there was no significant difference in the rate of positional nystagmus;the two groups patients’positional nystagmus were induced in various positions,and the duration was more than 60 s.Conclusion The abnormal rate of optokinetic examination and spontaneous nystagmus of PCI patients was significantly higher than those in VM group.There was no significant difference in the abnormal rates of positional nystagmus.Video nystagmus may help distinguish the two diseases.

关 键 词：前庭性偏头痛 后循环缺血性梗死 视频眼震电图 

分 类 号：R743.3[医药卫生—神经病学与精神病学]