국내에서 편두통성 현훈의 임상 양상 및 치료에 대한 다기관 연구 = Clinical Features and Treatment Pattern of Migrainous Vertigo in Korea: A Nationwide Prospective Multicenter Study

다국어 초록 (Multilingual 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.

다국어 초록 (Multilingual 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.

참고문헌 (Reference)

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