Short-term efficacy of right-to-left shunt closure in patients with vestibular migraine

This study aims to evaluate the short-term efficacy of right-to-left shunt closure in vestibular migraine patients, and compare the efficacy between patent foramen ovale (PFO) closure and pulmonary arteriovenous malformation (PAVM) embolization. Additionally, the study identifies factors related to...

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Veröffentlicht in:Frontiers in neurology 2024-12, Vol.15, p.1500918
Hauptverfasser: Lang, Yilin, Zhang, Sai, Xie, Peifan, Wang, Yang, Wang, Chuangwei, Wang, Wenting, Zhu, Xien, Gu, Ping
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Sprache:eng
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Zusammenfassung:This study aims to evaluate the short-term efficacy of right-to-left shunt closure in vestibular migraine patients, and compare the efficacy between patent foramen ovale (PFO) closure and pulmonary arteriovenous malformation (PAVM) embolization. Additionally, the study identifies factors related to surgical outcomes. Forty-one patients with vestibular migraine and medium to large right-to-left shunts underwent surgery: PFO closure, PAVM embolization, or both. Baseline data and postoperative outcomes at one month, including migraine and dizziness frequency, duration, VAS, HIT-6, migraine scores, and DHI scores, were analyzed. The correlation between efficacy and baseline data was analyzed. At one month postoperatively, the frequency and duration of dizziness and migraine attacks significantly decreased, and the VAS, HIT-6, migraine scores, and DHI scores all significantly dropped (   0.05). Red blood cell parameters positively correlated with the improvement rates of VAS, HIT-6, migraine scores, and DHI. This approach was more effective in male patients than in female patients (  
ISSN:1664-2295
1664-2295
DOI:10.3389/fneur.2024.1500918