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MİGREN İLİŞKİLİ BAŞ DÖNMESİ ŞİKÂYETİ İLE ACİL SERVİSE GELEN MİGREN HASTALARININ DEĞERLENDİRİLMESİ

Amaç: Baş dönmesinin eşlik ettiği migren hastalarının detaylı özelliklerini inceleyerekacilserviste yanlış tanı, teşhisve tedavinin önüne geçme yolunda ek bilgiler sunmayı amaçladık.Materyal ve Metod: Bu çalışma prospektif, kesitselbir çalışmadır. Acil servise baş dönmesi vebaş ağrısı şikâyeti birlikteliği ile başvuran6 ay içinde 100 ardışık hasta çalışmaya alındı. Acilserviste tedavisi verildikten sonra baş dönmesi ve baş ağrısı geçen hastalar nöroloji polikliniğineyönlendirildi. Her hasta için belli semptom, hikâye ve klinik özelliklerin sorgulandığı bir formdolduruldu. Hastalar aurası olup olmaması ve ailede migren olup olmamasına göre iki ayrı grubaayrıldı ve farklar incelendi.Bulgular: Hastalarımızdan 87‘si (%87) bayandı. Hastaların 41’i (%41) aura tarif etmekteydi.Baş ağrısının %66’sı tek taraflı olup %32‘si ise bilateraldi. Hastaların %83’de bulantı, %48’dekusma mevcuttu, %92’si fotofobi ve fonofobitarif etmekteydi. Ailede migren hikâyesi olanvertigolu migren hastalarının baş ağrısı süresi, ailede migren hikâyesi olmayanlara göre anlamlıoranda daha kısa süreliydi. Aylık migren sıklığı ise ailede migren hikâyesi olan vertigolu migrenhastalarında diğerlerine göre daha anlamlı yüksekti.Sonuç: Acil servise gelen baş ağrısı ve vertigosu olan hastalar içinde genç bayanlarda, baş ağrısıtek taraflı olanlarda ve fotofobi ve fonofobi tarif edenlere vertigonun eşlik ettiği migrendüşünülmelidir

Anahtar Kelimeler:

migren, başdönmesi, migrenöz vertigo, migren kaynaklı baş dönmesi, migren ilişkili vertigo, vestibüler migren

Assessment of the Patients with Migraine Related Vertigo that Admitted to the Emergency Department

Objective: We aimed to provide additional information in order to prevent the misdiagnosisand malpractice in the emergency department by examining the detailed characteristics ofmigraines associated with dizziness.Material and Methods: This is a prospective and cross-sectional study. A hundred consecutivepatients applied with the complaints of both headache and dizziness to emergency departmentwithin 6 months were examined. The patients were referred to neurology polyclinic after thetreatment in emergency department. For each patient, a form containing questions about thespecific symptom, the history and the clinic characteristics was full-filled. The patients weredivided into two groups according to whether there is aura or not, and migraine in the family ornot; than the differences were examined.Results: Eighty-seven of our patients (87%) were female. Forty-one patients (41%) describedaura. Of headache,66% were unilateral and 32% were bilateral. Of the patients,83% experiencednausea, 48% experienced vomiting and 92% described photophobia and phonophobia. Theduration of headache of the migraine patients having a family history of migraine wassignificantly shorter than others. The monthly migraine frequency was significantly higher inpatients having a family history of migraine than the others.Conclusion: Among the patients having a headache and vertigo who applied to emergencydepartment, migraine associated with vertigo should be considered in the young ladies whoseheadache is unilateral and who describes photophobia and phonophobia

Keywords:

migraine vertigo, migrainous vertigo, dizziness, migraine, migraine-related vertigo, vestibular migraine,

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