前庭性偏头痛-migrainedisorder版

<hr/> <p style="text-align: center;"> <iframe frameborder="0" src="https://v.qq.com/txp/iframe/player.html?vid=b350641yl97" allowfullscreen="true" width="360" height="230" scrolling="yes" align=" "></iframe> </p> <hr/> <p> <br/> </p> <p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 14px; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-align: left;"> <span style="font-size: 18px;">当偏头痛发作时，会涉及大脑的许多部分，所以会出现各种各样的症状表现。当大脑的平衡控制部分受到影响时，患者就会出现头晕相关症状，这就是前庭性偏头痛。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 14px; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-align: left;"> <span style="font-size: 18px;">您的医生成可能将前庭性偏头痛称为：偏头痛相关性眩晕或偏头痛相关性前庭疾病。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 14px; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-align: left;"> <span style="font-size: 18px;">前庭系统位于人的内耳，功能是控制身体平衡、进行运动感知。就前庭性偏头痛而言，就是大脑中处理转动和倾斜信号的功能受到影响，使得患者对任何细微运动都非常敏感。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 14px; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-align: left;"> <span style="font-size: 18px;">大多数前庭性偏头痛患者都有晕动症，它同时影响眼睛视觉信号和内耳运动信号处理功能，这两个保持身体平衡能力关键的系统。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 14px; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-align: left;"> <span style="font-size: 18px;">许多患者在处于相对运动状态时，会感到头晕恶心，例如在超市乘坐自动扶梯，或坐车经过栅栏时。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 14px; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-align: left;"> <span style="font-size: 18px;">前庭性偏头痛的主要症状包括：头晕、眩晕和难以保持平衡。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 14px; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-align: left;"> <span style="font-size: 18px;">症状还可能包括恶心或呕吐、意识模糊、畏光，耳鸣或耳内有压力感。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 14px; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-align: left;"> <span style="font-size: 18px;">症状可能短暂且频繁，也可能持续长达数周或数月。值得注意的是，前庭偏头痛发作时，可能有、也可能没有头痛症状伴随发生。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 14px; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-align: left;"> <span style="font-size: 18px;">前庭偏头痛的诱发因素有：压力、天气、激素水平、睡眠不足、脱水、饮食和吸烟等。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 14px; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-align: left;"> <span style="font-size: 18px;">前庭性偏头痛的治疗与普通偏头痛相似，更依赖于生活方式的调整和预防性药物治疗。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 14px; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-align: left;"> <span style="font-size: 18px;">减轻压力、注意补水、体质规律运动、健康饮食和良好睡眠对于前庭性偏头痛的治疗尤为重要。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 14px; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-align: left;"> <span style="font-size: 18px;">一些药物可用于减轻或中断前庭性偏头痛发作的症状，例如曲普坦、抗胆碱能药物、抗组胺药、苯二氮卓类药物和止吐药。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 14px; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-align: left;"> <span style="font-size: 18px;">非药物治疗方式有神经调节装置、认知行为疗法、前庭物理疗法等，并且需要补充元素如辅酶q10、镁、核黄素（维生素B2）等。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; text-indent: 2em; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 14px; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-align: left;"> <span style="font-size: 18px;">梅尼尔综合症和耳石症（良性阵发性位置性眩晕），由于症状与前庭性偏头痛类似，造成前庭性偏头痛的误诊率较高。此外，前庭偏头痛患者也可能同时患有这些疾病。基于以上原因，如果你有这些症状，应该去看找专科的医生，如耳鼻喉科医生，或神经内科医生，以获得准确诊断（国内建议找神经内科优先于耳鼻喉科）。</span> </p> <p> <br style="text-indent: 2em; text-align: left;"/> </p>