Association of Tinnitus and Other Cochlear Disorders With a History of Migraines

Hwang, Juen-Haur; Tsai, Shiang-Jiun; Liu, Tien‐Chen; Chen, Yi‐Chun; Lai, Jen-Tsung

doi:10.1001/jamaoto.2018.0939

Cited by 65 publications

(63 citation statements)

References 27 publications

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“…Chen et al (2019) found that patients with non-migraine headache are at significantly greater risk of tinnitus than those without chronic headache. Patients with migraine have also an increased risk to develop cochlear disorders and in particular tinnitus (Hwang et al, 2018). Langguth et al (2017) described that the laterality and severity of primary headache and tinnitus are significantly related.…”

Section: Discussionmentioning

confidence: 99%

Gender Comparison of Psychological Comorbidities in Tinnitus Patients – Results of a Cross-Sectional Study

et al. 2020

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Background: In the last decades, research focused on gender-related features in patients with tinnitus has often led to controversial results. The complex clinical picture of tinnitus patients often consists of an interdependent relationship between audiological symptoms and co-occurrent psychological disorders, which can complicate the diagnostic evaluation. Methods: Therefore, we studied 107 patients with tinnitus, investigating their psychological comorbidities in the light of gender differences. All patients were evaluated with ENT/audiological and psychological examination to consider presence/absence, type and gender distribution of psychopathological comorbidities. Patients completed questionnaires on tinnitus distress (Tinnitus Handicap Inventory, THI), anxiety (Beck Anxiety Inventory, BAI), depression (Beck Depression Inventory, BDI), metacognition (Metacognition Questionnaire-30, MCQ-30) and worry (Penn State Worry Questionnaire). The influence of gender on the relationship between tinnitus distress and psychological comorbidities was investigated with simple moderation analyses using the SPSS PROCESS macro. Results: The total sample included 65 male and 42 female patients (60.7 vs. 39.3%), matched for age and duration of tinnitus. We found no significant differences for tinnitus distress (THI total score, THI subscales) and MCQ-30 subscales, except for the control over thoughts, where men showed significantly higher scores than women (p = 0.045). Also, in our sample women showed significantly higher values for depression (BDI total score, p = 0.019), anxiety (BAI total score, p = 0.010) and worries (PSQW total score, p = 0.015). Moderation analyses revealed a significant influence of gender on the relationship of tinnitus distress with depression: higher scores of tinnitus distress were associated with significantly elevated levels of depression amongst men. No further gender influences could be observed in our sample. Discussion: In conclusion, our results indicate general gender differences for psychological comorbidities in tinnitus patients, with women reporting more depression, anxiety and worries. Men, on the other hand, showed a higher need to control their

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Section: Discussionmentioning

confidence: 99%

Gender Comparison of Psychological Comorbidities in Tinnitus Patients – Results of a Cross-Sectional Study

et al. 2020

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“…There are a number of studies that described fluctuating or permanent SSNHL in patients with migraine. In other words, migraine has been found to be a risk factor of sudden deafness [Viirre et al, 1996;Evans et al, 2009;Arslan et al, 2017;Hwang et al, 2018;Kim et al, 2019]. A population-based cohort study conducted in the Re-public of Korea, which included 44,714 individuals, showed that the risk of development of SSNHL in patients with migraine was 1.34 times higher than in controls [Bolay et al, 2008].…”

Section: Discussionmentioning

confidence: 99%

“…The migraine cohort had a greater risk of developing SSNHL than the matched cohort, the incidence rate ratio (IRR) was 1.8. In a 1,056-scale cohort study conducted in Taiwan, Hwang et al [2018] found that patients with a history of migraine had a tendency to develop cochlear disorders.…”

Section: Discussionmentioning

confidence: 99%

“…In terms of phonophobia, some research about auditory of migraine has been reported. Nowadays, there are many studies reporting sudden sensorineural hearing loss (SSNHL) in patients with migraine [Viirre et al, 1996;Evans et al, 2009;Arslan et al, 2017;Hwang et al, 2018;Kim et al, 2019]. But the auditory in VM patients have not been widely investigated.…”

Section: Introductionmentioning

confidence: 99%

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Audiological Findings in Patients with Vestibular Migraine and Migraine: History of Migraine May Be a Cause of Low-Tone Sudden Sensorineural Hearing Loss

Xue

Lin

et al. 2020

Audiol Neurotol

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Introduction: The aim of this study was to investigate and compare the auditory findings in migraine, vestibular migraine (VM), and healthy controls. Methods: Twenty-eight migraine patients (56 ears), 18 VM (36 ears), and 25 healthy controls (50 ears) were included. Audiometry, speech discrimination scores, distortion product optoacoustic emission (DPOAE), and auditory brainstem response were tested. Results: The pure tone in the VM group showed higher thresholds at lower frequencies (250, 500, 1,000, 2,000 Hz) than the control group, with statistical differences observed (P_{250 Hz} = 0.001, P_{500 Hz} = 0.003, P_{1,000 Hz} = 0.016, P_{2,000 Hz} = 0.002). Compared with the healthy controls, the patients with VM had significantly lower amplitudes of DPOAE at 1 kHz (p < 0.001) and 2 kHz (p = 0.020), and the patients with migraine had lower amplitudes at 2 kHz (p = 0.042). Compared with the control group, the patients with migraine reported prolonged latency of wave V (p = 0.016) and IPL I–V (p = 0.003). The patients with VM had significant prolongation of IPL I–V (p = 0.024). Conclusion: Not only the peripheral, but also the central auditory system was involved in patients with migraine and VM. In particular, lower frequencies of the auditory system were more likely to be involved in VM. The history of migraine may be a cause of low-tone sudden sensorineural hearing loss.

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“…Additionally, after multivariate regression analysis only intense head pressure remained significantly different between the two cohorts and the rest of the seven features lost their significance. Furthermore, symptoms such as hearing reduction, light sensitivity, and tinnitus which occur more commonly in patients with migraine [5], were not significantly different between the two cohorts.…”

Section: Evaluation Of the Hypothesismentioning

confidence: 75%

Proposal for a new diagnosis for U.S. diplomats in Havana, Cuba, experiencing vestibular and neurological symptoms

et al. 2020

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Between 2016 and 2017, several U.S. Diplomats in Havana, Cuba, experienced perplexing vestibular and neurological symptoms attributed to an unknown source. They presented with significant vestibular and headache symptoms similar to individuals who experience vestibular migraine (VM). As such, we hypothesize that VM may be a possible explanation for the Havana cohort's presenting symptoms. To evaluate this hypothesis, we compared symptoms reported by the affected individuals in Havana, Cuba, to symptoms reported by corresponding patients from a tertiary academic neurotology clinic with a chief complaint of vertigo or disequilibrium, who met the International Classification of Headache Disorders criteria for VM. The prevalence of the Havana subjects experiencing various symptomatic domains was compared with the VM cohort, leading to 26 unique domains and statistical comparisons between the cohorts. Of the 26 domains compared between the two cohorts, 18 were not significantly different. This included the two most important components of meeting criteria for VM, namely the coexistence of headache and vestibular symptoms. On regression analysis, the only feature which kept its significant difference between the two cohorts was acute intense head pressure (P = 0.007). The domains with similar occurrence ratios included dizziness, headache, light sensitivity, hearing reduction, and tinnitus. In other words, multiple headache and vestibular symptoms, consistent with VM criteria, were similar between the two cohorts. The considerable similarities across various domains between VM patients and Havana subjects could be due to migraine as a possible common etiology for both groups. We propose VM as a potential etiology for the symptomatology in the U.S. diplomats in Cuba.

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Association of Tinnitus and Other Cochlear Disorders With a History of Migraines

Abstract: In this population-based study, the risk of cochlear disorders, especially for tinnitus, was found to be significantly higher among patients with a history of migraines. This finding may support the presence and/or concept of "cochlear migraine."

Cited by 65 publications

References 27 publications

Gender Comparison of Psychological Comorbidities in Tinnitus Patients – Results of a Cross-Sectional Study

Gender Comparison of Psychological Comorbidities in Tinnitus Patients – Results of a Cross-Sectional Study

Audiological Findings in Patients with Vestibular Migraine and Migraine: History of Migraine May Be a Cause of Low-Tone Sudden Sensorineural Hearing Loss

Proposal for a new diagnosis for U.S. diplomats in Havana, Cuba, experiencing vestibular and neurological symptoms

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