片頭痛関連めまい症例の前庭頸反射, 前庭眼反射ならびに臨床症状の検討

• 小宮山 櫻子

  帝京大学医学部附属溝口病院耳鼻咽喉科

• 中原 はるか

  帝京大学医学部附属溝口病院耳鼻咽喉科

• 津田 幸子

  よしむら耳鼻咽喉科クリニック

• 吉村 恵理子

  帝京大学医学部附属溝口病院耳鼻咽喉科 よしむら耳鼻咽喉科クリニック

• 室伏 利久

  帝京大学医学部附属溝口病院耳鼻咽喉科

書誌事項

タイトル別名

• Clinical characteristics, vestibulocolic reflex and vestibulo-ocular reflex in patients with migraine-associated vertigo
• Clinical characteristics, vestibulocollic reflex and vestibulo-ocular reflex in patients with migraine-associated vertigo

抄録

The purposes of this study was to elucidate the clinical characteristics of patients suffering from migraine-associated vertigo (MAV) including results of cervical vestibular evoked myogenic potential (cVEMP) and ocular VEMP (oVEMP). Thirty patients diagnosed as having MAV based on the diagnostic criteria by Sakata et al. were enrolled. We performed a retrospective chart review. These patients underwent medical history taking and examinations including cVEMP, oVEMP and a caloric test. All examinations were performed during a symptom-free interval. Twenty one patients (70%) experienced rotatory vertigo, 5 patients (17%) had floating dizziness and 4 patients (13%) had both. Twenty six patients (87%) reported tinnitus and/or aural fullness unilaterally or bilaterally. Their vertigo or dizziness lasted under 60 minutes in 10 patients (34%), 1 hour to 24 hours in 14 patients (46%), and over one day in 5 patients (17%). Canal paresis in the caloric test was observed in 5 patients (17%). Concerning cVEMP, 4 of the 30 patients (13%) showed absent cVEMPs bilaterally, 2 patients (7%) showed absent cVEMPs reflexes unilaterally, and one (3%) demonstrated decreased cVEMP amplitudes unilaterally. Only one patient showed prolonged cVEMP latencies. Concerning oVEMP, 6 of the 30 patients (20%) had absent oVEMP reflexes bilaterally, 2 (7%) had absent oVEMP reflexes unilaterally, and one (3%) had decreased oVEMP amplitudes unilaterally. In 2 patients prolonged oVEMP latencies were observed. No significant correlation was observed among cVEMP, oVEMP and the caloric test. This study showed abnormal vestibular reflexes could be shown by oVEMP as well as the caloric test and cVEMP. It was suggested that a portion of those patients with MAV have abnormal otolith-ocular reflexes.

収録刊行物

• Ｅｑｕｉｌｉｂｒｉｕｍ　Ｒｅｓｅａｒｃｈ

  Ｅｑｕｉｌｉｂｒｉｕｍ　Ｒｅｓｅａｒｃｈ 72 (6), 493-500, 2013

  一般社団法人 日本めまい平衡医学会

キーワード

• migraine
• cVEMP
• oVEMP
• caloric test
• otolith

詳細情報

• CRID: 1390001204949258240
• NII論文ID: 130003395172
• DOI: 10.3757/jser.72.493
• ISSN: 1882577X
• ISSN: 03855716
• Web Site: https://search.jamas.or.jp/link/ui/2014201687
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可