目的 了解儿童前庭性偏头痛（VMC）与成人前庭性偏头痛（VM）患者之间临床特征、听功能及前庭功能检测结果差异，为VMC的诊疗提供参考。方法 回顾性分析2022年1月—2024年7月于眩晕专科门诊就诊，确诊为VMC与VM患者的临床资料，比较两组之间临床特征。结果 共纳入患者186例，其中VMC患者92例，男44例、女48例，中位年龄10.0（6.3~13.0）岁；成人VM患者94例，男23例、女71例，中位年龄52.0（35.0~61.3）岁；VMC患者男性比例高于成人患者，组间差异有统计学意义（P<0.01）。VMC患者中84.8%有明确家族史，81.5%有特殊个人史，均高于成人VM患者（57.4 %和63.8%），组间差异有统计学意义（P<0.01）。VMC患者的纯音听阈异常检出率、摇头性眼震阳性率、温度试验CP值异常率、颈肌前庭诱发肌源性电位以及视频头脉冲试验异常率均低于成人VM患者，组间差异有统计学意义（P<0.05）。结论 VMC患者性别差异不明显，成人VM患者则以女性较多。VMC患者常有特殊个人史及家族史。VMC患者亦可发生听-前庭功能障碍，但程度较成人VM患者轻。

Objective This study aimed to explore the differences in clinical characteristics, hearing, and vestibular function test results between children with vestibular migraine (VMC) and adults with vestibular migraine (VM), in order to provide a reference for the diagnosis and treatment of VMC. Methods We retrospectively analyzed the clinical data of patients diagnosed with VMC and VM in the vertigo specialist clinic from January 2022 to July 2024 and compared the clinical features between the two groups. Results A total of 186 patients were included, comprising 92 patients with VMC (44 boys and 48 girls) with a median age of 10.0 years (range 6.3 to 13.0 years), and 94 adult patients with VM (23 males and 71 females) with a median age of 52.0 years (range 35.0 to 61.3 years). The proportion of males in the VMC group was significantly higher than that in the adult VM group (P<0.01). A significant majority of VMC patients (84.8%) had a clear family history and 81.5% had a unique personal history, both of which were significantly higher than in adult VM patients (57.4% and 63.8%, P<0.01). The abnormal rates of auditory function, positive rate of head shaking nystagmus, abnormal rate of CP value in the temperature test, and abnormal rates of cervical vestibular evoked myogenic potential and video head impulse test in VMC patients were all lower than those in VM patients, with statistically significant differences between the groups (P<0.05). Conclusions There was no significant gender difference in VMC patients, whereas adult VM patients were predominantly female. VMC patients often have a significant personal and family history. Auditory vestibular dysfunction can also occur in VMC patients, but the severity is less than in adult VM patients.