合併疑似單側腦幹病變之可能偏頭痛性眩暈：病例報告

Probable Migrainous Vertigo with A Probable Unilateral Brainstem Lesion: A Case Report

陳建志(Jiann-Jy Chen) ； 劉智仰(Chih-Yang Liu) ； 孫盛義(Sheng-Yih Sun) ； 陳登郎(Dem-Lion Chen)

《南臺灣醫學雜誌》 6卷1期 (2010/06) Pp. 58-64

https://doi.org/10.6726/MJST.201006_6(1).0009

摘要

「可能偏頭痛性眩暈」與偏頭痛性眩暈有關，若病程發生變化時，應考慮中樞性的病變，若對影像學的檢查結果有疑慮時，可以借助神經耳科學的方法。一28歲男性，苦於左側耳鳴及聽障已經7年，自1年前開始罹患「可能偏頭痛性眩暈」，每每於發作前左側耳鳴會加重。大約在半年前的一次發作時，左側耳鳴加重及頭暈持續了3週，磁振造影顯示左側中腦出現了可疑處，由於眼振電圖、兩耳溫差測試及左側前庭誘發肌性電位檢查呈現異常，而且在給予腦循環促進劑治療後，聽力均有進步，可見當時應有左側腦幹的病變。爾後半年，在適當地使用鎮定劑或助眠劑後，情況依然穩定。

關鍵字

頭暈 ； 耳鳴 ； 可能偏頭痛性 ； 眩暈 ； 腦幹病變

並列摘要

Probable migrainous vertigo (probable MV) is relative with migrainous vertigo (MV). A central lesion should be impressed if the disease-course changes. An oto-neurologic study is recommended to confirm a dubious image finding. A 28-year-old male presented left tinnitus and hearing block for 7 years. Unfortunately, he has been bothered with probable MV since one year ago. Left tinnitus always exacerbated before each attack. However, about half a year ago, left exacerbated tinnitus and dizziness has persisted for three weeks. Magnetic resonance image/angiogram of brain showed a dubious finding in his left midbrain. Electrony-stagmogram, caloric test and left vestibular evoked myogenic potential showed abnormal waves; in addition, his hearing ability improved after treated with a brain circulatory promoter, so there must be something wrong in his left brainstem. In the following half a year, it was uneventful because a sedative or a hypnotics has been properly used.

並列關鍵字

dizziness ； tinnitus ； probable migrainous vertigo ； brainstem lesion