Differences Between Vestibular Migraine and Meniere's Disease Based on Cochlear-Vestibular Function Assessment: A 6-Year Retrospective Clinical Study.

IF 1.2 4区综合性期刊 Q3 MULTIDISCIPLINARY SCIENCES

Jove-Journal of Visualized Experiments Pub Date : 2025-09-12 DOI:10.3791/68803

Ling Chen, Qiong Wei, Lin Zhang, Xiaowu Tang, Yongkang Ou

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Abstract

Audiological and vestibular function tests are the most commonly used noninvasive evaluation methods for vertigo diseases. Preliminary studies have shown that detailed medical history, audiological, and vestibular function evaluation are effective methods to distinguish Meniere's disease and vestibular migraine diseases. This study retrospectively included 503 patients with vestibular migraine and 1,125 patients with Meniere's disease. Patients underwent pure tone audiometry and videonystagmography (VNG), including spontaneous nystagmus testing and the caloric test. In our study, we found that patients with Meniere's disease often exhibit abnormal unilateral weakness, while those with vestibular migraine show changes in vestibular function characterized by labyrinthine hyperactivity. Compared to vestibular migraine patients, Ménière's disease patients are more likely to experience unilateral full-frequency hearing loss. This study systematically compared the vestibular function and audiological characteristics of vestibular migraine and Ménière's disease, providing an evidence-based foundation for clinical differential diagnosis.

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基于耳蜗-前庭功能评估的前庭偏头痛与梅尼埃病的差异：一项6年回顾性临床研究

听力学和前庭功能测试是最常用的无创评估眩晕疾病的方法。初步研究表明，详细的病史、听力学和前庭功能评估是区分梅尼埃病和前庭偏头痛的有效方法。本研究回顾性纳入503例前庭偏头痛患者和1125例梅尼埃氏病患者。患者接受纯音测听和视频震图（VNG），包括自发性眼球震测试和热量测试。在我们的研究中，我们发现梅尼埃病患者经常表现出异常的单侧无力，而前庭偏头痛患者则表现出以迷路多动症为特征的前庭功能改变。与前庭偏头痛患者相比，mims患者更有可能经历单侧全频听力损失。本研究系统比较了前庭偏头痛与mims病的前庭功能及听力学特征，为临床鉴别诊断提供循证依据。

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来源期刊

Jove-Journal of Visualized Experiments MULTIDISCIPLINARY SCIENCES-

CiteScore

2.10

自引率

0.00%

发文量

992

期刊介绍： JoVE, the Journal of Visualized Experiments, is the world''s first peer reviewed scientific video journal. Established in 2006, JoVE is devoted to publishing scientific research in a visual format to help researchers overcome two of the biggest challenges facing the scientific research community today; poor reproducibility and the time and labor intensive nature of learning new experimental techniques.