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首页> 外文期刊>Acta Otorhinolaryngologica Italica >Case Reports on Two Patients with Episodic Vertigo, Fluctuating Hearing Loss and Migraine Responding to Prophylactic Drugs for migraine. Menière’s Disease or migraine-associated Vertigo?
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Case Reports on Two Patients with Episodic Vertigo, Fluctuating Hearing Loss and Migraine Responding to Prophylactic Drugs for migraine. Menière’s Disease or migraine-associated Vertigo?

机译：两名患有发作性眩晕，波动性听力下降和偏头痛的偏头痛预防药物的患者的病例报告。美奈尔病或与偏头痛有关的眩晕？

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Recent reports have focused on a possible association between migraine and Menière’s disease; patients suffering from Menière’s disease present a higher rate of migraine. In some cases, the clinical features of migraine-associated vertigo may mimic the presentation of Menière’s disease. The present report focuses on two cases of females with recurrent episodes of rotational vertigo, fluctuating hearing loss and tinnitus lasting from a few minutes to several hours; both cases also presented migrainous attacks. As a result of repeated cochleovestibular attacks, both patients presented a permanent low frequency sensorineural hearing loss. Preventive therapies for Menière’s disease did not reduce vertigo attacks, while topiramate and acetylsalicylic acid treatment resulted in a significant reduction of both migraine and vertigo. Both the diagnosis of Menière’s disease and of migraine-associated vertigo rely on clinical history and both disorders lack a specific diagnostic test. In the early stages, differential diagnosis between Menière’s disease and migraine-associated vertigo is often very difficu previous investigations focused on the possibility that subjects with migraine may experience all symptoms of Menière’s disease, including sensorineural fluctuating hearing loss. In conclusion, a trial with prophylactic drug treatment for migraine might be suggested in patients with clear symptoms of migraine and recurrent cochleovestibular disorders.
机译：最近的报道集中在偏头痛和美尼尔病之间的可能关联上;患有美尼尔病的患者偏头痛发生率更高。在某些情况下，与偏头痛相关的眩晕的临床特征可能会模仿美尼尔病的表现。本报告主要针对两例复发性旋转性眩晕发作，波动性听力损失和耳鸣持续几分钟至几小时的女性病例;这两个案件也都出现了偏头痛发作。由于反复发生耳蜗前庭发作，两名患者均出现永久性低频感觉神经性听力损失。美奈尔病的预防性治疗并不能减少眩晕发作，而托吡酯和乙酰水杨酸治疗却可以显着减少偏头痛和眩晕。美奈尔病和偏头痛相关性眩晕的诊断均依赖于临床病史，并且两种疾病都缺乏特定的诊断测试。在早期阶段，梅尼埃病和偏头痛相关性眩晕的鉴别诊断通常非常困难;之前的研究集中在偏头痛患者可能会经历梅尼埃雷氏病的所有症状，包括感觉神经波动性听力损失的可能性上。总之，对于偏头痛症状明确和耳蜗前庭疾病复发的患者，建议进行偏头痛的预防性药物治疗试验。

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