The postoperative relief of vertigo and migraine in Meniere's disease patients with and without migraine.

IF 1.2 4区医学 Q3 OTORHINOLARYNGOLOGY

Acta Oto-Laryngologica Pub Date : 2025-04-30 DOI:10.1080/00016489.2025.2491651

Lin Han, Zijing Wang, Junbo Zhang, Maoli Duan, Tongxiang Diao, Lisheng Yu

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引用次数: 0

Abstract

Background: The correlation of Meniere's disease (MD) and migraine remains unclear.

Objectives: To explore the relation of MD and migraine by analyzing the postoperative relief of vertigo and migraine in MD patients with migraine.

Material and methods: 104 MD patients were enrolled. The monthly vertigo episodes (MVE) and migraine headache index (MHI) were used for assessing effectiveness at pre- and post-endolymphatic sac decompression (ELSD). First, patients were divided into MD with migraine and MD two groups with vertigo relief rates compared. Then, the postoperative relief of vertigo and migraine in MD patients with migraine was analyzed.

Results: The postoperative vertigo relief rates for MD and MD with migraine groups were 46.7% and 40.68% with no significant difference. In MD patients with migraine, postoperative MVE and MHI decreased significantly. The Kappa value calculated for vertigo and migraine outcomes was 0.505. The absence of hypertension was independently predictive of relief of vertigo and migraine. The male was independently predictive for relief of migraine.

Conclusions and significance: ELSD is effective for MD patients with migraine. The postoperative relief of vertigo and migraine has a certain consistency, suggesting MD and migraine may share some common pathogenesis which may be related to inflammation.

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伴有和不伴有偏头痛的梅尼埃病患者术后眩晕和偏头痛的缓解。

背景：梅尼埃病（MD）与偏头痛的相关性尚不清楚。目的：通过分析MD合并偏头痛患者术后眩晕和偏头痛的缓解情况，探讨MD与偏头痛的关系。材料和方法：纳入104例MD患者。每月眩晕发作（MVE）和偏头痛指数（MHI）用于评估内淋巴囊减压（ELSD）前后的有效性。首先，将患者分为伴有偏头痛的MD组和伴有眩晕缓解率的MD两组。分析MD合并偏头痛患者术后眩晕和偏头痛的缓解情况。结果：MD组和MD合并偏头痛组术后眩晕缓解率分别为46.7%和40.68%，差异无统计学意义。MD合并偏头痛患者术后MVE和MHI显著降低。眩晕和偏头痛结果的Kappa值为0.505。没有高血压是眩晕和偏头痛缓解的独立预测因素。男性对偏头痛的缓解有独立的预测作用。结论及意义：ELSD治疗MD合并偏头痛有效。术后眩晕和偏头痛的缓解有一定的一致性，提示MD和偏头痛可能有一些共同的发病机制，可能与炎症有关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Acta Oto-Laryngologica 医学-耳鼻喉科学

CiteScore

2.50

自引率

0.00%

发文量

审稿时长

3-6 weeks

期刊介绍： Acta Oto-Laryngologica is a truly international journal for translational otolaryngology and head- and neck surgery. The journal presents cutting-edge papers on clinical practice, clinical research and basic sciences. Acta also bridges the gap between clinical and basic research.