Vestibular migraine without headache treated with lomerizine: A 35-year-old woman undiagnosed for 10 years.

洛美利嗪治疗无头痛的前庭偏头痛 ： 一名 35 岁女性 10 年未确诊。

• 发表时间: Jul 2020
• 来源期刊: J Gen Fam Med
• DOI: 10.1002/jgf2.311
• PMID: 32742903
• 文章类型: Case Reports
• 作者列表: Maita H,Kobayashi T,Akimoto T,Osawa H,Kato H

关键词: Meniere's disease; benign paroxysmal positional vertigo; lomerizine; migraine‐associated vertigo; vestibular migraine

Abstract

A 35-year-old woman presented with recurrent vertigo without headache, which had persisted for 10 years. Detailed medical history revealed that she experienced hearing loss, tinnitus, nausea, photophobia, phonophobia, and slight discomfort in the head during vertigo attacks, which often led to absence from work. Based on the diagnostic criteria of the International Classification of Headache Disorders, third edition, she was diagnosed with vestibular migraine and was prescribed lomerizine, as prophylaxis. Her symptoms markedly improved, enabling her to go to work. Accurate diagnosis and treatment are important for improving the quality of life of patients, since vestibular migraine is commonly underdiagnosed.

摘要

一名35岁的女性出现复发性眩晕，但没有头痛，已经持续了10年。详细的病史显示她经历了听力损失，耳鸣,恶心,畏光,恐惧症,眩晕发作时头部轻微不适，这往往导致缺勤。根据国际头痛疾病分类的诊断标准，第三版,她被诊断出患有前庭偏头痛，并接受了洛美利嗪，作为预防。她的症状明显改善,让她去工作。准确的诊断和治疗对提高患者的生活质量至关重要,因为前庭性偏头痛通常被低估。