兒童前庭性偏頭痛光譜疾病的臨床與聽覺前庭檢查發現

// Clinical and audiovestibular findings in pediatric vestibular migraine spectrum disorders

32名兒童回顧性研究：VNG(眼震)異常70.8%（中央性位置性50%）、VHIT(頭部衝擊)異常43.7%、聽力17例中3例單側輕中度受損｜以中樞性前庭功能障礙為主，符合偏頭痛病理；建議早期辨識及目標性聽前庭檢查以縮短診斷延誤並改善照護。

// This retrospective cohort study of 32 children with vestibular migraine spectrum disorders (VMC, probable VMC, RVC) evaluated demographics, family migraine history, audiometry, videonystagmography (VNG), and video head impulse testing (VHIT). VNG was abnormal in 70.8% (central positional nystagmus in 50%), VHIT was abnormal in 43.7%, and hearing loss was uncommon (3/17 with mild–moderate unilateral loss). Findings indicate predominantly central vestibular dysfunction consistent with migraine pathophysiology, and prolonged diagnostic delay with frequent prior imaging/EEG suggests earlier recognition and targeted audiovestibular testing could improve care.

Published 2026年9月25日