偏头痛是一种常见病,普通病例表现为周期性头痛,而在不同类型的偏头痛,则可表现为一过性神经系统功能障碍,如视觉改变、感觉异常、颅神经及脑干症状,并常常表现有前庭和听觉系统功能障碍,如眩晕、平衡障碍、耳鸣及听力下降等。偏头痛的症状,临床仅表现为一过性神经系统功能障碍,本文称之为偏头痛替代征(migraine equivalent)。作者报告5例偏头痛替代征,其主要临床表现为反复发作性眩晕、耳鸣、恶心、呕吐、平衡障碍、听力下降等,部分病例可出现下肢无力、眼前发黑、复视、视野缺损、面部口周或手的感觉异常、发音困难等症状,症状持续数分钟或数小时后完全恢复正常。神经系统检查、CT 扫描及动脉造影均正常。听力学检查偶有 Migraine is a common disease, common cases of periodic headache, and in different types of migraine, can be manifested as transient nervous system dysfunction, such as visual changes, sensory abnormalities, cranial nerves and brain stem symptoms, And often manifestations of vestibular and auditory system dysfunction, such as dizziness, balance disorders, tinnitus and hearing loss and so on. Migraine symptoms, clinically manifested as transient neurological dysfunction, referred to herein as migraine replacement (migraine equivalent). The authors report 5 cases of migraine replacement signs, the main clinical manifestations of recurrent vertigo, tinnitus, nausea, vomiting, balance disorders, hearing loss, some cases may appear lower limb weakness, black eyes, diplopia, visual field defects, facial Perioral or hand feeling abnormalities, dysphonia and other symptoms, the symptoms continued for a few minutes or hours completely returned to normal. Nervous system examination, CT scan and arterial angiography were normal. Audiology occasionally