眩晕性偏头痛患者的视频头脉冲与视频震动图的比较

W. Mohamed, Gehan Elzaree, Mahmoud Hassan, A. Mohamed
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引用次数: 0

摘要

背景和目的前庭性偏头痛除了引起眩晕、眩晕和不平衡的典型偏头痛症状外,还会引起眩晕、头晕和不平衡。视频头部冲击试验(VHIT)是一种确定每个半圆管功能的新方法。尽管视频眼球震颤描记术(VNG)是识别周围性眩晕的有效工具,但并不是所有的中枢性眩晕患者都能很容易地被检测到。本研究的目的是证实VHIT与VNG在眩晕性偏头痛患者中的功能结果。患者和方法我们选择了40名前庭偏头痛患者(男女)和25名正常人作为对照。两组患者在彻底的病史采集、实验室调查、VHIT和VNG后均接受了完整的临床检查。结果VNG在患者组中具有良好的预测价值(95%置信区间=0.891–0.998,P=0.0001),敏感性为96.6%,特异性为86.2%,而VHIT的预测价值较差,敏感性为100%,特异性为48.1%(95%置信区间=0.523–0.779,P=0.099)。结论VNG对前庭偏头痛的预后具有与VHIT几乎相同的特异性和敏感性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison between video head impulse and videonystagmography in patients with vertiginous migraine
Background and aim In addition to the classic migraine symptoms of vertigo, dizziness, and imbalance, vestibular migraine causes vertigo, dizziness, and imbalance. The video head impulse test (VHIT) is a novel approach for determining the function of each semicircular canal. Although videonystagmography (VNG) is an effective tool for identifying peripheral vertigo, not all patients with central vertigo can be easily detected. The goal of this research is to confirm the findings of the functional outcome of VHIT versus VNG in patients with vertiginous migraine. Patients and methods We selected 40 patients (both sexes) with vestibular migraine and 25 normal individuals as control. Both groups were subjected to complete clinical examination after thorough history taking, laboratory investigations, VHIT, and VNG. Results VNG had excellent predictive value in the patients’ group (95% confidence interval=0.891–0.998, P=0.0001) with a 96.6% sensitivity and 86.2% specificity, while VHIT had poor predictive value with a sensitivity of 100% and specificity of 48.1% (95% confidence interval=0.523–0.779, P=0.099). Conclusion VNG has a specificity and sensitivity for the prognosis of vestibular migraine that is virtually identical to VHIT.
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