识别儿童偏头痛相关性眩晕的潜在危险因素
Identifying potential risk factors for migraine-related vertigo in children.
文献信息
| PMID | 42868945 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Mario Faralli |
| 作者单位 | Section of Otorhinolaryngology, Department of Medicine and Surgery University of Perugia, Perugia, Italy. |
| 期刊 | International journal of pediatric otorhinolaryngology |
| SCI 分区 | Q2 |
| IF | 1.7 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 耳科 |
中文摘要
目的： 本研究旨在探讨已确立的偏头痛相关因素在特发性发作性眩晕儿童中的情况。
方法： 对30例诊断为特发性发作性眩晕的儿童进行了回顾性队列研究。评估了若干偏头痛相关临床表现。此外，还考虑了头痛的存在、头痛和眩晕的发病年龄以及前庭性偏头痛的诊断标准。数据与无眩晕的对照组进行了比较。
结果： 偏头痛家族史、发作性综合征、睡眠障碍和晕动病在发作性眩晕儿童中显著更常见（p = 0.001）。7例患者（23.3%）出现头痛。首次眩晕发作的平均发病年龄为8.57 ± 2.11岁，显著低于头痛的平均发病年龄12.71 ± 1.50岁（p < 0.0001）。10岁前未报告偏头痛性头痛，且头痛从未先于眩晕发作。仅3例患者（10%）符合前庭性偏头痛的诊断标准，且均年龄大于14岁。
结论： 对本研究中调查的偏头痛相关因素进行全面评估，可能改善对发作性眩晕儿童的评估。这些易于获取的数据，无论是直接获得还是在父母协助下获得，都支持症状起源于偏头痛的假说。这项研究至关重要，尤其是在青春期前，此时头痛常常缺失，从而限制了满足前庭性偏头痛诊断标准的能力。
英文摘要
OBJECTIVES: The aim of this study was to investigate established migraine-associated factors in children with idiopathic episodic vertigo.
METHODS: A retrospective cohort study was conducted on 30 children diagnosed with idiopathic episodic vertigo. Several migraine-associated clinical manifestations were evaluated. In addition, the presence of headache, the age of onset for both headache and vertigo, and the criteria for vestibular migraine were also considered. Data were compared to those of a control group, which did not exhibit vertigo.
RESULTS: A family history of migraine, episodic syndromes, sleep disorders and motion sickness disorder were significantly more frequent in children with episodic vertigo (p = 0.001). Headache occurred in 7 patients (23.3%). The mean age at onset of the first vertigo episode was 8.57 ± 2.11, which was significantly lower (p < 0.0001) than the average age of onset for headache, recorded at 12.71 ± 1.50. Migraine headache was not reported before the age of 10 and never preceded the onset of vertigo. Only three patients (10%) met the diagnostic criteria for vestibular migraine, all of whom were older than 14 years.
CONCLUSIONS: A thorough assessment of the migraine-associated factors investigated in this study may improve the evaluation of children with episodic vertigo. The readily accessible data, whether obtained directly or with parental assistance, support the hypothesis of a migraine-related origin of the symptoms. This investigation is essential, particularly during the pre-pubertal age, when headaches are frequently absent, thereby limiting the ability to fulfil the diagnostic criteria for vestibular migraine.