摘要
【摘要】 目的 对后循环缺血单发性眩晕（ PCIV）与偏头痛性眩晕（ MV）两组病例进行深入分析，比较其鉴别诊断的方法。方法 选取我院从 2017年 1月—— 2018年 12月的患有后循环缺血单发性眩晕疾病的患者 52例，患有偏头痛性眩晕疾病的患者 48例，分为两组疾病进行临床观察，同时主要采取后循环缺血（ PCI）的高危因素检查、眼动检查和高刺激率听性脑干反应（ ABR）检查及头颅 MRI等检查方法，分析其各自的特征体现。结果 52例 PCIV患者，血压异常 21例；血脂或（和）血糖异常 9例；血管超声异常 23例；突然起身眼前发黑或头晕 8例；高刺激 ABR异常 17例； 5例头颅 MRI异常（腔隙梗死）。 48例 MV患者，运动病 41例，运动敏感 17例，畏光或（和）畏声 25例，偏头痛 31例，眼动异常 13例， MRI异常 3例，高刺激 ABR异常 36例。结论 通过对 PCIV和 MV两组患者的症状分析，可见 MV患者的发病年龄要比 PCIV患者的发病年龄要小， PCIV的发病症状主要体现在血压、血脂或（和）血糖异常、动脉硬化等；而 MV的发病症状主要体现在运动病、运动敏感、发作时畏光或（和）畏声。头颅 MRI对于鉴别诊断有一定的帮助，高刺激 ABR不能作为 PCIV与 MV的鉴别点，但对与其他类型眩晕的鉴别有一定意义。
【关键词】 后循环缺血单发性；眩晕；偏头痛
[Abstract] Objective To compare the methods of differential diagnosis between posterior circulation ischemic vertigo (PCIV) and migraine vertigo (MV). Methods 52 patients with posterior circulation ischemia and 48 patients with migraine vertigo were selected from January 2017 to December 2018. They were divided into two groups for clinical observation. At the same time, the high risk factors of posterior circulation ischemia (PCI), eye movement examination and high stimulation rate audibility were mainly adopted. Brainstem response (ABR) and cranial MRI were used to analyze their respective characteristics. Results Among 52 patients with PCIV, 21 had abnormal blood pressure, 9 had abnormal blood lipid or (and) blood sugar, 23 had abnormal blood vessel ultrasound, 8 had blackness or dizziness before suddenly rising, 17 had abnormal high stimulation of ABR, and 5 had abnormal cranial MRI (lacunar infarction). Among 48 MV patients, 41 were motor sickness, 17 were sensitive to exercise, 25 were phobia or/or phobia, 31 were migraine, 13 were eye movement abnormalities, 3 were MRI abnormalities, and 36 were hyperstimulation ABR abnormalities. Conclusion By analyzing the symptoms of patients with PCIV and MV, we can see that the onset age of MV patients is younger than that of PCIV patients. The onset symptoms of PCIV mainly manifest in blood pressure, dyslipidemia or (and) abnormal blood sugar, arteriosclerosis and so on. The onset symptoms of MV mainly manifest in motor disease, motion sensitivity, photophobia or atherosclerosis during seizures. (and) fear. Head MRI is helpful for differential diagnosis. High stimulus ABR can not be used as a differential point between PCIV and MV, but it has certain significance in differentiating from other types of vertigo.
出版日期
2020年04月27日（中国期刊网平台首次上网日期，不代表论文的发表时间）
