前庭偏头痛:诊断和优化治疗的问题

O. V. Zaitseva, T. G. Baskova, A. L. Latsinova, O. E. Wenger
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引用次数: 0

摘要

头痛和头晕是两种最常见的抱怨,患者转向医生的各种专业。彻底的检查通常会发现这两种症状的结合。目前,“前庭偏头痛”(vestibular migraine, VM)一词被世界范围内的耳神经学家和神经学家公认为是前庭性眩晕和偏头痛的最合适组合。诊断和鉴别诊断的困难与缺乏确认疾病(和检测)的可能性有关,以及在不同的VM发作中,甚至在一个患者中,头晕可能不同。治疗的复杂性在于需要选择一种相对个性化的治疗方案,并且缺乏理想的前庭抑制剂(能迅速抑制头晕并且没有明显的副作用)。在此背景下,寻找最有效的药物用于VM患者的急诊和选择性治疗无疑是重要的。对于VM患者,可推荐在家中使用药物Arlevert(苯海明40mg +肉桂嗪20mg)缓解急性前庭危像,因为该药物非常有效且耐受性良好。此外,最重要的是,Arlevert与用于预防偏头痛的其他药物没有已知的相互作用。
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Vestibular migraine: issues of diagnosis and optimization of therapy
Headache and dizziness are the two most common complaints with which patients turn to physicians of various specialties. A thorough examination often reveals a combination of these two symptoms. Currently, the term “vestibular migraine” (VM) is recognized by the worldwide community of otoneurologists and neurologists as the most appropriate for the combination of vestibular vertigo and migraine headaches. The difficulties in diagnosis and differential diagnosis are related to the lack of possibility to confirm the disease (and to detect) instrumentally and to the fact that the dizziness may be different in different VM episodes, even in one patient. The complexity of therapy is in the need to choose a relatively individualized treatment regimen and in the lack of an ideal vestibular suppressant (which quickly suppresses dizziness and has no significant side effects). In this context, finding the most effective drugs for emergency and elective treatment of patients with VM is undoubtedly important. For patients with VM, the use of the drug Arlevert (dimenhydrinate 40 mg + cinnarizine 20 mg) can be recommended for the relief of acute vestibular crisis at home, since the drug is highly effective and well tolerated. In addition, and most importantly, Arlevert has no known interactions with other medications used for migraine prevention.
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来源期刊
Nevrologiya, Neiropsikhiatriya, Psikhosomatika
Nevrologiya, Neiropsikhiatriya, Psikhosomatika Psychology-Clinical Psychology
CiteScore
1.50
自引率
0.00%
发文量
95
期刊介绍: The journal’s chief mission is the postgraduate training of neurologists and psychiatrists through dissemination of current knowledge, new medical technologies and advances, the integration to the global scientific process, and the qualitative representation of achievements of global and Russian science. The journal “Nevrologiya, Neiropsikhiatriya, Psikhosomatika” publishes original articles dedicated to the practical and theoretical issues of neurological, mental, and psychosomatic diseases, conducted clinical, clinical-and-experimental studies and basic researches, as well as reviews, lectures, case reports, and ancillary materials on all relevant problems of neurology and psychiatry, including information on congresses, symposia, and new books. The journal is intended for a wide range of neurologists, psychiatrists, neuropsychologists, and specialists of related occupations.
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