Персистирующее постуральное перцептивное головокружение и вестибулярная мигрень

Застенская Е.Н., Антоненко Л.М. Персистирующее постуральное перцептивное головокружение и вестибулярная мигрень. Клинический случай. Consilium Medicum. 2022;24(11):811–815.
DOI: 10.26442/20751753.2022.11.202026

© ООО «КОНСИЛИУМ МЕДИКУМ», 2022 г.

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Zastenskaya EN, Antonenko LM. Persistent postural perceptual vertigo and vestibular migraine. Case report. Consilium Medicum. 2022;24(11):811–815. DOI: 10.26442/20751753.2022.11.202026

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Аннотация

Персистирующее постуральное перцептивное головокружение (ПППГ) и вестибулярная мигрень (ВМ) относятся к частым причинам головокружения. Однако, несмотря на характерные клинические проявления ПППГ и ВМ, эти диагнозы устанавливаются крайне редко, а головокружение расценивается как следствие других заболеваний, таких как цереброваскулярное заболевание (хроническая ишемия мозга, вертебрально-базилярная недостаточность), нестабильность шейного отдела позвоночника и проявление синдрома вегетативной дистонии. В статье приведено описание клинического случая пациента с ПППГ и ВМ. Диагностика данных заболеваний основана на соответствии клинической картины диагностическим критериям, также проведено углубленное обследование с использованием дополнительных методов для исключения других причин головокружения. Представлены современные данные по клинической и инструментальной диагностике описанных заболеваний.

Ключевые слова: персистирующее постуральное перцептивное головокружение, вестибулярная мигрень, вестибулярная реабилитация

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Persistent postural perceptual vertigo (PPPV) and vestibular migraine (VM) are common causes of vertigo. However, despite the typical clinical presentation of PPPV and VM, these diagnoses are rarely made, and dizziness is considered a consequence of other diseases, such as cerebrovascular disorders (chronic cerebral ischemia, vertebrobasilar insufficiency), cervical spine instability, or the manifestation of vegetative dystonia syndrome. This article describes a clinical case of a patient with PPPV and VM. The diagnosis is based on the clinical presentation matched with the diagnostic criteria and an in-depth examination using additional methods to rule out other causes of dizziness. Current evidence on clinical and instrumental diagnostics of the disorders is presented.

Keywords: persistent postural perceptual vertigo, vestibular migraine, vestibular rehabilitation

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Список литературы

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29. Li K, Si L, Cui B, et al. Altered intra- and inter-network functional connectivity in patients with persistent postural-perceptual dizziness. Neuroimage Clin. 2020;26:102216. DOI:10.1016/j.nicl.2020.102216
30. Lee JO, Lee ES, Kim JS, et al. Altered brain function in persistent postural perceptual dizziness: a study on resting state functional connectivity. Hum Brain Mapp. 2018;39:3340-53. DOI:10.1002/hbm.24080
31. Waterston J, Luke Chen L, Kate Mahony K, et al. Persistent Postural-Perceptual Dizziness: Precipitating Conditions, Co-morbidities and Treatment With Cognitive Behavioral Therapy. Front Neurol. 2021;24(12):795516. DOI:10.3389/fneur.2021.795516
32. Kabaya K, Tamai H, Okajima A, et al. Presence of exacerbating factors of persistent perceptual-postural dizziness in patients with vestibular symptoms at initial presentation. Laryngoscope Investigat Otolaryngol. 2022;7(2):499-505. DOI:10.1002/lio2.735
33. Horii A. Anxiety, depression, and persistent postural perceptual dizziness: International classification of vestibular disorders by Barany Society. Equilibrium Research. 2017;76(4):316-22. DOI:10.3757/jser.76.316
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35. Antonenko LM, Zastenskaya EN. Persistent postural-perceptual dizziness: Current approaches to diagnosis and treatment. Nevrologiya, Neiropsikhiatriya, Psikhosomatika. 2019;11(4):136-40. DOI:10.14412/2074-2711-2019-4-136-140
36. Seemungal BM, Passamonti L. Persistent postural-perceptual dizziness: a useful new syndrome. Pract Neurol. 2018;18(1):3-4. DOI:10.1136/practneurol-2017-001817
37. Rine RM. Vestibular Rehabilitation for Children. Semin Hear. 2018;39(3):334-344. DOI:10.1055/s-0038-1666822
38. Popkirov S, Stone J, Holle-Lee D. Treatment of Persistent Postural-Perceptual Dizziness (PPPD) and Related Disorders. Curr Treat Options Neurol. 2018;20(12):50. DOI:10.1007/s11940-018-0535-0
39. Антоненко Л.М., Парфенов В.А. Специализированный подход к диагностике и лечению головокружения. Неврология, нейропсихиатрия, психосоматика. 2016;8(1):56-60 [Antonenko LM, Parfenov VA. A specialized approach to diagnosing and treating vertigo. Neurology, Neuropsychiatry, Psychosomatics. 2016;8(1):56-60 (in Russian)]. DOI:10.14412/2074-2711-2016-1-56-60
40. Koizuka I. Evidence and neural mechanism of vestibular rehabilitation. Equilibrium Research. 2018;77(4):288-97. DOI:10.3757/jser.77.288
41. Hall CD, Herdman SJ, Whitney SL, et al. Vestibular rehabilitation for peripheral vestibular hypofunction: An evidence-based clinical practice guideline: From the American physical therapy association neurology section. J Neurol Phys Ther. 2016;40(2):124-55. DOI:10.1097/NPT.0000000000000120
42. Thompson KJ, Goetting JC, Staab JP, Shepard NT. Retrospective review and telephone follow-up to evaluate a physical therapy protocol for treating persistent postural-perceptual dizziness: A pilot study. J Vestib Res. 2015;25:97-103. DOI:10.3233/VES-150551
43. MacDowell SG, Wellons R, Bissell A, et al. The impact of symptoms of anxiety and depression on subjective and objective outcome measures in individuals with vestibular disorders. J Vestib Res. 2018;27:295-303. DOI:10.3233/VES-170627
44. Ogihara H, Kamo T, Tanaka R, et al. Factors affecting the outcome of vestibular rehabilitation in patients with peripheral vestibular disorders. Auris Nasus Larynx. 2022;49(6):950-5. DOI:10.1016/j.anl.2022.03.004
45. Walker A, Kantaris X, Chambers M. Understanding therapeutic approaches to anxiety in vestibular rehabilitation: a qualitative study of specialist physiotherapists in the UK. Disabil Rehabil. 2018;40:829-35. DOI:10.1080/09638288.2016.1277393
46. Dunlap PM, Holmberg JM, Whitney SL. Vestibular rehabilitation: advances in peripheral and central vestibular disorders. Opin Neurol. 2019;32(1):137-44. DOI:10.1097/WCO.0000000000000632
47. Nada EH, Ibraheem OA, Hassaan MR. Vestibular Rehabilitation Therapy Outcomes in Patients With Persistent Postural-Perceptual Dizziness. Ann Otol Rhinol Laryngol. 2019;128(4):323-9. DOI:10.1177/0003489418823017
48. Sohn JH. Recent advances in the understanding of vestibular migraine. Behav Neurol. 2016;2016:1801845. DOI:10.1155/2016/ 1801845
49. Sugaya N, Arai M, Goto F. Is the headache in patients with vestibular migraine attenuated by vestibular rehabilitation? Neurol. 2017;8:124. DOI:10.3389/fneur.2017.00124

________________________________________________

1. Coebergh JC. Vestibular migraine and persistent postural-perceptual dizziness. BMJ. 2019;366:l5435. DOI:10.1136/bmj.l5435
2. Huang TC, Wang SH, Kheradmand A. Vestibular migraine: An update on current understanding and future directions. Cephalalgia. 2019;1-15. DOI:10.1177/0333102419869317
3. Ahmad H, Anwer AS. Effects of Vestibular Rehabilitation in the Management of a Vestibular Migraine: A Review. Front Neurol. 2018;9:440. DOI:10.3389/fneur.2018.00440
4. Staab JP, Eckhardt-Henn A, Horii A, et al. Diagnostic criteria for persistent postural-perceptual dizziness (PPPD): consensus document of the committee for the Classification of Vestibular Disorders of the Bárány Society. J Vestib Res. 2017;27(04):191-208. DOI:10.3233/VES-170622
5. Staab JP. Persistent Postural-Perceptual Dizziness. Semn Neurol. 2020;40(1):130-7. DOI:10.1055/s-0039-3402736
6. Popkirov S, Staab JP, Stone J. Persistent postural-perceptual dizziness (PPPD): A common, characteristic and treatable cause of chronic dizziness. Pract Neurol. 2018;18(1):5-13. DOI:10.1136/practneurol-2017-001809
7. Antonenko LM. Psychogenicdizziness. Neurology, Neuropsychiatry, Psychosomatics. 2016;8(2):50-4 (in Russian). DOI:10.14412/2074-2711-2016- 2-50-54
8. Dieterich M, Staab JP, Brandt T. Functional (psychogenic) dizziness. Handb Clin Neurol. 2016;139:447-68. DOI:10.1016/B978-0-12-801772-2.00037-0
9. Stroke and Vertigo Association of Chinese Stroke Association. Multidisciplinary experts consensus for assessment and management of vestibular migraine. Chin Med J. 2019;132. DOI:10.1097/CM9.0000000000000064
10. Beh S, Masrour S, Smith S, Friedman DI. The Spectrum of Vestibular Migraine: Clinical Features, Triggers, and Examination Findings. Headache. 2019;59(5):727-40. DOI:10.1111/head.13484
11. Qiu F, Song DD, Guo QF, et al. Analysis of clinical features for vestibular migraine with imaging abnormalities on brain MRI. Chin J Med. 2017;97:1049-53 [in Chinese]. DOI:10.3760/cma.j.issn.0376-2491.2017.14.004
12. Lempert T, Brevern M. Vestibular Migraine. Neurol Clin. 2019;37(4):695-706. DOI:10.1016/j.ncl.2019.06.003
13. Vuralli D, Yildirim F, Akcali DT, et al. Visual and Postural Motion-Evoked Dizziness Symptoms Are Predominant in Vestibular Migraine Patients. Pain Med. 2018;19(1):178-83. DOI:10.1093/pm/pnx182
14. Lauritsen CG, Marmura MJ. Current Treatment Options: Vestibular Migraine. Curr Treat Options Neurol. 2017;19(11):38. DOI:10.1007/s11940-017-0476-z
15. Sun SF, Si NN, Su LM. Advances in genetic studies on the pathogenesis of vestibular migraine. Chin J Otol. 2018;16:307-11 (in Chinese). DOI:10.3969/j.issn.1672-2922.2018.03.010
16. Headache Classification Committee of the International Headache Society (IHS). The International Classification of Headache Disorders, 3rd ed. Cephalalgia. 2018;38:1-211. DOI:10.1177/0333102417738202
17. Minen MT, Dhaem OBD, Diest AKV, et al. Migraine and its psychiatric comorbidities. J Neurol Neurosurg Psychiatry. 2016;87:741-9. DOI:10.1136/jnnp-2015-312233
18. Lapira A. Vestibular migraine treatment and prevention. HNO. 2019;67(6):425-8. DOI:10.1007/s00106-019-0661-3
19. Vestel C, Hertogh W, Rompaey V, Vereeck L. Comparison of Clinical Balance and Visual Dependence Tests in Patients With Chronic Dizziness With and Without Persistent Postural-Perceptual Dizziness: A Cross-Sectional Study. Front Neurol. 2022. DOI:10.3389/fneur.2022.880714
20. Sohsten E, Bittar RS, Staab JP. Posturographic profile of patients with persistent postural-perceptual dizziness on the sensory organization test. J Vestib Res. 2016;26:319-26. DOI:10.3233/VES-160583
21. Kisabay A, Çelebisoy N, Özdemir HN, Gökçay F. Vestibular migraine and persistent postural perceptual dizziness: Handicap, emotional comorbidities, quality of life and personality traits. Clin Neurol Neurosurg. 2022;107409. DOI:10.1016/j.clineuro.2022.107409
22. Neuhauser H, Radtke A, Brevern M. Zolmitriptan for treatment of migrainous vertigo: A pilot randomized placebo-controlled trial. Neurology. 2003;60:882-3. DOI:10.1212/01.wnl.0000049476.40047.a3
23. Prakash S, Shah ND. Migrainous vertigo responsive to intravenous methylprednisolone: Case reports. Headache. 2009;49:1235-9. DOI:10.1111/j.1526-4610.2009.01474.x
24. Horii A, Imai T, Kitahara T, et al. Psychiatric comorbidities and use of milnacipran in patients with chronic dizziness. J Vest Res. 2016;26:335-40. DOI:10.3233/VES-160582
25. Powell G, Derry-Sumner H, Rajenderkumar D, et al. Persistent postural perceptual dizziness is on a spectrum in the general population. Neurology. 2020;94:1-10. DOI:10.1212/WNL.0000000000009373
26. Esin RG, Khairullin IKh, Mukhametova ER, Esin OR. Persistent postural-perceptual dizziness. Zhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova. 2017;117(4):28‑33 (in Russian). DOI:10.17116/jnevro20171174128-33
27. Axer H, Finn S, Wassermann A, et al. Multimodal treatment of persistent postural-perceptual dizziness. Brain Bahav. 2020;10(12):e01864. DOI:10.1002/brb3.1864
28. Diukova GM, Golubev VL, Adilova SM, Makarov SA. Functional (psychogenic) vertigo. Zhurnal Nevrologii i Psikhiatrii imeni S.S. Korsakova. 2017;117(6):91‑8 (in Russian). DOI:10.17116/jnevro20171176191-98
29. Li K, Si L, Cui B, et al. Altered intra- and inter-network functional connectivity in patients with persistent postural-perceptual dizziness. Neuroimage Clin. 2020;26:102216. DOI:10.1016/j.nicl.2020.102216
30. Lee JO, Lee ES, Kim JS, et al. Altered brain function in persistent postural perceptual dizziness: a study on resting state functional connectivity. Hum Brain Mapp. 2018;39:3340-53. DOI:10.1002/hbm.24080
31. Waterston J, Luke Chen L, Kate Mahony K, et al. Persistent Postural-Perceptual Dizziness: Precipitating Conditions, Co-morbidities and Treatment With Cognitive Behavioral Therapy. Front Neurol. 2021;24(12):795516. DOI:10.3389/fneur.2021.795516
32. Kabaya K, Tamai H, Okajima A, et al. Presence of exacerbating factors of persistent perceptual-postural dizziness in patients with vestibular symptoms at initial presentation. Laryngoscope Investigat Otolaryngol. 2022;7(2):499-505. DOI:10.1002/lio2.735
33. Horii A. Anxiety, depression, and persistent postural perceptual dizziness: International classification of vestibular disorders by Barany Society. Equilibrium Research. 2017;76(4):316-22. DOI:10.3757/jser.76.316
34. Spiegel R, Rust H, Baumann T, et al. Treatment of dizziness: an interdisciplinary update. Swiss Med Wkly. 2017;147:w14566. DOI:10.4414/smw.2017.14566
35. Antonenko LM, Zastenskaya EN. Persistent postural-perceptual dizziness: Current approaches to diagnosis and treatment. Nevrologiya, Neiropsikhiatriya, Psikhosomatika. 2019;11(4):136-40. DOI:10.14412/2074-2711-2019-4-136-140
36. Seemungal BM, Passamonti L. Persistent postural-perceptual dizziness: a useful new syndrome. Pract Neurol. 2018;18(1):3-4. DOI:10.1136/practneurol-2017-001817
37. Rine RM. Vestibular Rehabilitation for Children. Semin Hear. 2018;39(3):334-344. DOI:10.1055/s-0038-1666822
38. Popkirov S, Stone J, Holle-Lee D. Treatment of Persistent Postural-Perceptual Dizziness (PPPD) and Related Disorders. Curr Treat Options Neurol. 2018;20(12):50. DOI:10.1007/s11940-018-0535-0
39. Antonenko LM, Parfenov VA. A specialized approach to diagnosing and treating vertigo. Neurology, Neuropsychiatry, Psychosomatics. 2016;8(1):56-60 (in Russian). DOI:10.14412/2074-2711-2016-1-56-60
40. Koizuka I. Evidence and neural mechanism of vestibular rehabilitation. Equilibrium Research. 2018;77(4):288-97. DOI:10.3757/jser.77.288
41. Hall CD, Herdman SJ, Whitney SL, et al. Vestibular rehabilitation for peripheral vestibular hypofunction: An evidence-based clinical practice guideline: From the American physical therapy association neurology section. J Neurol Phys Ther. 2016;40(2):124-55. DOI:10.1097/NPT.0000000000000120
42. Thompson KJ, Goetting JC, Staab JP, Shepard NT. Retrospective review and telephone follow-up to evaluate a physical therapy protocol for treating persistent postural-perceptual dizziness: A pilot study. J Vestib Res. 2015;25:97-103. DOI:10.3233/VES-150551
43. MacDowell SG, Wellons R, Bissell A, et al. The impact of symptoms of anxiety and depression on subjective and objective outcome measures in individuals with vestibular disorders. J Vestib Res. 2018;27:295-303. DOI:10.3233/VES-170627
44. Ogihara H, Kamo T, Tanaka R, et al. Factors affecting the outcome of vestibular rehabilitation in patients with peripheral vestibular disorders. Auris Nasus Larynx. 2022;49(6):950-5. DOI:10.1016/j.anl.2022.03.004
45. Walker A, Kantaris X, Chambers M. Understanding therapeutic approaches to anxiety in vestibular rehabilitation: a qualitative study of specialist physiotherapists in the UK. Disabil Rehabil. 2018;40:829-35. DOI:10.1080/09638288.2016.1277393
46. Dunlap PM, Holmberg JM, Whitney SL. Vestibular rehabilitation: advances in peripheral and central vestibular disorders. Opin Neurol. 2019;32(1):137-44. DOI:10.1097/WCO.0000000000000632
47. Nada EH, Ibraheem OA, Hassaan MR. Vestibular Rehabilitation Therapy Outcomes in Patients With Persistent Postural-Perceptual Dizziness. Ann Otol Rhinol Laryngol. 2019;128(4):323-9. DOI:10.1177/0003489418823017
48. Sohn JH. Recent advances in the understanding of vestibular migraine. Behav Neurol. 2016;2016:1801845. DOI:10.1155/2016/ 1801845
49. Sugaya N, Arai M, Goto F. Is the headache in patients with vestibular migraine attenuated by vestibular rehabilitation? Neurol. 2017;8:124. DOI:10.3389/fneur.2017.00124

Авторы

Е.Н. Застенская, Л.М. Антоненко*

ФГАОУ ВО «Первый Московский государственный медицинский университет им. И.М. Сеченова» Минздрава России (Сеченовский Университет), Москва, Россия
*antonenko_l_m@staff.sechenov.ru

________________________________________________

Ekaterina N. Zastenskaya, Ludmila M. Antonenko*

Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia
*antonenko_l_m@staff.sechenov.ru

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