摘要
目的采用经颅多普勒发泡试验(c-TCD)的方法比较前庭性偏头痛(VM)患者心脏右向左分流(RLS)发生率及偏头痛患者的RLS发生率。方法收集2021年7月至2024年1月就诊于郑州大学附属洛阳中心医院头晕头痛门诊及神经内科门诊的78例VM患者(确诊VM及疑似VM)和40例偏头痛患者的临床资料。收集人口学资料及病史,并行c-TCD检查,统计心脏RLS的发生率。结果VM患者78例中确诊VM 63例,疑似VM 15例,VM(确诊VM及疑似VM)患者RLS的发生率高于偏头痛患者,差异有统计学意义(P<0.05)。结论VM患者心脏RLS发生率显著增高,卵圆孔未闭可能是VM的主要病因。
Objective To compare the incidence of cardiac right-to-left shunt(RLS)in patients with vestibular migraine(VM)and the incidence of RLS in patients with migraine using the contrast transcranial Doppler(c-TCD)method.Methods The clinical data of 78 patients with VM(confirmed VM and suspected VM)and 40 patients with migraine who visited the dizziness and headache outpatient department and the neurology outpatient department of Luoyang Central Hospital Affiliated to Zhengzhou University from July 2021 to January 2024 were collected.The demographic data and medical history were collected,and c-TCD examination was performed to calculate the incidence of cardiac RLS.Results Among the 78 patients with VM,there were 63 confirmed cases of VM and 15 suspected cases of VM.The incidence of RLS in patients with VM(confirmed VM and suspected VM)was higher than that in patients with migraine(P<0.05).Conclusions The incidence of cardiac RLS is significantly higher in VM patients,suggesting that patent foramen ovale may be a primary cause of VM.
作者
刘超
许晓辉
张金躯
蔡卫卫
张莉
Liu Chao;Xu Xiaohui;Zhang Jinqu;Cai Weiwei;Zhang Li(Department of Neurology,Luoyang Central Hospital,Luoyang 471000,China)
出处
《临床医学》
2025年第8期14-16,共3页
Clinical Medicine
基金
河南省联合共建项目(LHGJ20220943)。
关键词
前庭性偏头痛
卵圆孔未闭
心脏右向左分流
Vestibular migraine
Patent foramen ovale
Cardiac right-to-left shunt
