良性发作性位置性眩晕丛集发作伴头痛的临床观察

摘要

目的：分析丛集发作良性发作性位置性眩晕患者伴发头痛的临床特点。方法观察丛集发作良性发作性位置性眩晕伴头痛住院治疗患者头痛的性质、部位、严重程度、持续时间、加重和缓解因素以及丛集发作眩晕中与头痛相关的功能障碍。结果在观察的152例BPPV患者中，53例（34.8%）伴头痛。根据国际头痛分类标准，8例（15%）为无先兆的偏头痛，14例（26%）为伴颈项肌肉痉挛的紧张性头痛，23例（43%）为不伴颈项肌肉痉挛的紧张性头痛，6例（11%）为颈源性头痛及2例（4%）头痛分类不明。结论 BPPV患者经常伴发头痛，第一是紧张性头痛，其次为偏头痛，第三为颈源性头痛，BPPV患者伴头痛是加重患者抑郁的独立相关因素。%Objective To analyze the clinical symptoms of headache associated with cluster benign paroxysmal positional Vertigo (BPPV). MethodsAnalyzed the headache’s quality, localization, severity, time course, aggravating and alleviating factors and headache –related disability of cluster benign paroxysmal positional vertigo patients. Results Among 152 BPPV patients 53 (34.8%) with headache, according to the International Classiifcation of Headache Disorders, 8(15%) were migraine without aura, 14(26%) were tension-type headache with pericranial tenderness, 23(43%) were tension-type headache without pericranial tenderness, 6(11%) were cervicogenic headache and 2(4%) were not specified.Conclusion BPPV patients often have headache, the most common type is tension-type headache, the next is migraine, the third is cervicogenic headache. BPPV patients with headache can worsen patients’ distress.