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Vrtoglavica in migrena
Spindler, Majda
Vrtoglavica in migrena sta vsaka za sebe zelo pogosti težavi, ravno tako pa je relativno pogosta kombinacija obeh. Medtem ko so simptomi tipične migrene in tipične vrtoglavice dobro poznani, pa se ...migrena z vrtoglavico lahko pojavlja v različnih oblikah in simptomi precej nihajo. Diagnostično je potrebno ugotoviti, če sta vrtoglavica in glavobol neodvisna drug od drugega ali pa sta povezana in če sta manifestacija migrene. Patofiziologija migrene z vrtoglavico ni povsem jasna, znanih je nekaj možnih vzrokov. Migreno in migreno z vrtoglavico pogosto povzročajo sprožilni faktorji kot so stres, strah, hipoglikemija, nihanje estrogena, določena hrana, kajenje, itn. Testa za potrditev migrene ali migrene z vrtoglavico ni, zaradi številnih simptomov je vedno možna tudi napačna diagnoza. Tako kot za migreno tudi za vrtoglavico z vsemi variantami velja, da se s pacienti s takimi težavami ukvarjamo več in dalj časa, jih napotimo na mnoge, pogosto nepotrebne preiskave in jim predpisujemo pogosto nepotrebna zdravila.
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