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Research in Vestibular Science > Volume 8(2); 2009 > Article
Research in Vestibular Science 2009;8(2): 122-131.
국내에서 편두통성 현훈의 임상 양상 및 치료에 대한 다기관 연구
, , , , , , , , , , , , , , , , , , , , , 안성기1, 강규식2, 구자원3, 김규성4, 김범규5, 김병건6, 김지수7, 박경호8, 박시내8, 박은호9, 박홍주10, 변재용11, 서명환12, 성기범13, 오선영14, 이정구12, 이태경13, 정성해15, 정원호16, 차창일11, 채성원17, 고의경18
경상대학교병원 이비인후과1, 경상대학교병원 신경과2, 분당서울대학교병원 이비인후과3, 인하대학교병원 이비인후과4, 한림대학교 한강성심병원 이비인후과5, 을지대학교 노원을지병원 신경과6, 분당서울대학교병원 신경과7, 가톨릭대학교 서울성모병원 이비인후과8, 베스트 이비인후과9, 건국대학교병원 이비인후과10, 경희대학교 동서신의학병원 이비인후과11, 단국대학교병원 이비인후과12, 순천향대학교 부천병원 신경과13, 전북대학교병원 신경과14, 충남대학교병원 신경
Clinical Features and Treatment Pattern of Migrainous Vertigo in Korea: A Nationwide Prospective Multicenter Study
Seong Ki Ahn, Kyusik Kang, Ja Won Koo, Kyu Sung Kim, Beom Gyu Kim, Byung Kun Kim, Ji Soo Kim, Kyoung Ho Park, Shi Nae Park, Eun Ho Park, Hong Ju Park, Jae Yong Byun, Myung Whan Suh, Ki Bum Sung, Sun Young Oh, Chung Ku Rhee, Tae Kyeong Lee, Seong Hae Jeong, Won Ho Chung, Chang Il Cha, Sung Won Chae, Eui Kyung Goh
1Department of Otorhinolaryngology, Gyeongsang National University Hospital, Jinju, Korea.
2Department of Neurology, Gyeongsang National University Hospital, Jinju, Korea.
3Department of Otorhinolaryngology, Seoul National University Bundang Hospital, Bungdang, Korea.
4Department of Otorhinolaryngology, Inha University Hospital, Incheon, Korea.
5Department of Otorhinolaryngology, Hallym University Hospital, Seoul, Korea.
6Department of Neurology, Eulji University, Eulji Hospital, Seoul, Korea.
7Department of Neurology, Seoul National University Bundang Hospital, Bungdang, Korea.
8Department of Otorhinolaryngology, The Catholic University, Seoul St. Mary's Hospital, Seoul, Korea.
9Best ENT Clinic, Gwangju, Korea.
10Department of Otorhinolaryngology, Konkuk University Hospital, Seoul, Korea.
11Department of Otorhinolaryngology, Kyung Hee University Hospital, Seoul, Korea.
12Department of Otorhinolaryngology, Dankook University Hospital, Cheonan, Korea.
13Department of Neurology, Soonchunhyang University, Bucheon Hospital, Bucheon, Korea.
14Department of Neurology, Chunbuk National University Hospital, Jeonju, Korea.
15Department of Neurology, Chungnam National University Hospital, Daejeon, Korea.
16Department of Otorhinolaryngology, Sungkyunkwan University, Samsung Seoul Hospital, Seoul, Korea.
17Department of Otorhinolaryngology, Korea University Guro Hospital, Seoul, Korea.
18Department of Otorhinolaryngology, Pusan National University Hospital, Busan, Korea. gohek@pusan.ac.kr
ABSTRACT
Background and Objectives It is being increasing recognized that the morbidities of migraine and balance disorders are interrelated. In fact, migrainous vertigo (MV) is one of frequent causes of recurrent vertigo in patients presenting to specialized dizziness clinics. Nevertheless, not many studies have reported clinical manifestations and treatment. Therefore, the aim of study was designed to assess clinical features and treatment patterns by a nationwide multicenter study. Materials and Methods Patients between 9 and 74 years of age who visited 17 Korean tertiary referral centers and 1 clinic from February to March 2009 were investigated using two forms of questionnaires. Results Overall, 318 patients with MV were enrolled. MV was responsible for ~8.45% of visits to the specialized dizziness clinics. One hundred seventy-five of these patients had definite MV and were included in assessing the clinical features. Vertigo characteristics of patients with definite MV were various. Vertigo was regularly as-sociated with headache in 87% of the patients. The duration of vertigo ranged from seconds to days. For the treatment patterns, an acute and prophylactic therapies were carried in most clinics. There were no differences in either acute or prophylactic therapies between department of neurology and otorhinolaryngology. Conclusions The results of this study suggest that MV the clinical features of MV also varies in Korea. In addition, most clinics provide similar patterns of practice in treatment for MV. The syndrome of MV deserves further research activity as it is relatively common and clinically relevant.
Keywords: Migraine; Vertigo; Clinical feature; Therapy
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