梅尼爾氏症與前庭性偏頭痛的鑑別診斷：內淋巴水腫的前瞻性磁共振影像研究

// Differentiating Ménière Disease and Vestibular Migraine: A Prospective MRI Study of Endolymphatic Hydrops

本研究評估高解析度MRI檢測內耳淋巴水腫對診斷梅尼爾氏病（MD）、前庭性偏頭痛（VM）及其重疊症（VMMD）的效果｜分析231名間歇性眩暈患者的水腫嚴重程度，並以兩年後治療反應作為診斷標準｜結果顯示MD患者多呈中至重度水腫，VM患者超過半數無水腫且多為輕微水腫，MRI水腫嚴重度與臨床診斷高度相關，支持MRI在區分MD與VM中的診斷價值。

// This study evaluated the use of high-resolution MRI to detect cochlear and vestibular endolymphatic hydrops in diagnosing Ménière disease (MD), vestibular migraine (VM), and their overlap (VMMD). Researchers analyzed hydrops severity in 231 patients with episodic vertigo and compared MRI findings with treatment response after two years as the diagnostic standard. They found that MD patients predominantly showed moderate to severe hydrops, while over half of VM patients had no hydrops, and those with hydrops had mostly mild grades. The severity of hydrops on MRI was significantly associated with the final clinical diagnosis, supporting its diagnostic value in distinguishing MD from VM.

Published 2026年7月15日