An analysis of clinical features of 226 vestibular migraine patients

VernacularTitle:前庭性偏头痛226例症候分析
Author: Feng QIU ; Xin HUANG ; Xiaofeng WANG ; Jianguo LIU ; Xiaokun QI
Publication Type:Journal Article
Keywords: Vertigo; Migraine disorders; Posterior circulation ischemia
From: Chinese Journal of Internal Medicine 2014;53(12):961-963
CountryChina
Language:Chinese
Abstract: Objective To explore the clinical characteristics of vestibular migraine in patients from the clinic and ward of the neurological department in comprehensive hospitals.Methods A total of 226 patients diagnosed as vestibular migraine were enrolled in the study.Clinical data were collected and analyzed,including the medical history,clinical symptoms and signs,as well as the result of diagnostic examinations.Results The mean age of the patients at the visit was 51.7 years old,with the male to female ratio of 1:1.48.The occurrence of vertigo and migraine varied in order,with 53.1％ (120/226) patients presented migraine several years before vertigo.The duration time of vertigo ranged from seconds to days,with 1.8％ (4/226) patients presented no headache during the whole course.Several punctate long T2 or high FLARE (fluid attented inversion recovery) signals scattered at the centrum ovale.Conclusions Vestibular migraine has complex mechanism and presents multiple clinical manifestations with certain regularities of the onset.Differential diagnosis should be made from the similar diseases.