International Classification of Headache Disorders 3rd edition beta-based field testing of vestibular migraine in China: Demographic, clinical characteristics, audiometric findings and diagnosis statues

Zhang, Yixin; Kong, Qingtao; Chen, Jinjin; Li, Lunxi; Wang, Dayang; Zhou, Jiying

doi:10.1177/0333102415587704

Cited by 77 publications

(74 citation statements)

References 29 publications

(56 reference statements)

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“…However, the pathological mechanism requires further study. The duration of vertigo attacks in patients with VM ranged from seconds to days but seldom exceeded 72 h [14]. Our results regarding vestibular symptoms were partly divergent from those of previous studies.…”

Section: Discussioncontrasting

confidence: 84%

“…Our previous study showed that vertigo attacks appeared on average 6 years after the onset of migraine in patients with VM and that vertigo attacks were always associated with migrainous headache in 34% and occasionally associated in 30%. Vertigo attacks had never occurred with migraine in 36% [14]. However, the pathological mechanism requires further study.…”

Section: Discussionmentioning

confidence: 99%

“…As described previously [14-16], all patients were initially interviewed by 4 neurologists (Q.P., W.H., T.L., and S.Z.) and they filled in self-administered questionnaires.…”

Section: Methodsmentioning

confidence: 99%

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Diagnosis of Vertigo and Dizziness Syndromes in a Neurological Outpatient Clinic

Pan¹,

Zhang²,

Long³

et al. 2018

Eur Neurol

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Background: Dizziness and vertigo are frequent complaints of outpatients in the neurological department. Our objective was to explore the epidemiological category and clinical features of patients with dizziness or vertigo in the neurological outpatient department of a tertiary hospital. Methods: We consecutively recruited all patients with dizziness and/or vertigo visiting the neurological outpatient clinic of the First Affiliated Hospital of Chongqing Medical University from January 2016 to June 2017. All patients were interviewed by 4 neurologists and they completed self-administered questionnaires. General physical and standardized neuro-otology bedside examinations were performed in all participants. Instrumental examinations and other related examinations were prescribed as needed. Results: A total of 392 patients, 272 female and 120 male, were enrolled and the ratio of males to females was 1: 2.27. The mean age was 52.39 ± 13.87 years (range 11–90). Elderly patients (≥60 years) accounted for about one-third of the patients. Peripheral vestibular disorders accounted for 54.6% of patients, central vestibular disorders (including vestibular migraine [VM]) accounted for 22.4% of patients, psychogenic vertigo in 64 (16.3%), other reasons in 9 (2.3%) and unknown in 17 (4.3%). Benign paroxysmal positional vertigo (BPPV; 30.8%), psychiatric dizziness (20.5%), and VM (14.4%) were the 3 major vestibular diseases in patients under 60 years of age; however, BPPV (27.9%), central vertigo (21.7%), and Meniere’s disease (11.7%) were more common in patients over 60 years of age. Conclusions: This study provided a classification and clinical features of vestibular disorders in a neurological outpatient department of a tertiary hospital in China. The spectrum of vertigo or dizziness is different between different age groups and clinicians should pay attention to this difference in clinical reasoning.

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Section: Discussioncontrasting

confidence: 84%

Section: Discussionmentioning

confidence: 99%

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Diagnosis of Vertigo and Dizziness Syndromes in a Neurological Outpatient Clinic

Pan¹,

Zhang²,

Long³

et al. 2018

Eur Neurol

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“…All patients were examined by an experienced neurologist (JZ). A standardized neuro‐otology bedside assessment was performed as described previously . All patients performed a videonystagmography (VNG) test between the attacks.…”

Section: Methodsmentioning

confidence: 99%

Clinical features and outcomes of benign recurrent vertigo: A longitudinal study

Pan

Zhang

et al. 2020

Acta Neurol Scand

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Objective To study the demographics, vertigo profiles, and outcomes of adult patients with benign recurrent vertigo (BRV). Patients and methods This prospective study included patients with BRV who were admitted to a tertiary neurology clinic between June 2013 and June 2017. All patients underwent detailed clinical interviews and related examinations. A follow‐up was then conducted through an outpatient or telephone interview. Results A total of 66 patients (48 females) were enrolled, and the mean age at the onset of vertigo was 35.2 years. Spontaneous vertigo was the most common type (77.8%), followed by positional vertigo (16.7%). The duration of vertigo attacks varied from minutes to 72 hours. A family history of migraine and/or recurrent vertigo was reported in 51.5% of patients. The overall response rate was 80.3%（53/66）after a median follow‐up time of 32.5 months (range: 18‐60 months). Forty (75.5%, of 53) patients still reported having vertigo attacks at the follow‐up. The frequency of vertigo attacks was reduced in 32 (60.4%) patients and was unchanged in 8 (15.1%). Four (7.5%) cases developed into vestibular migraine, but none developed into Meniere's disease. Conclusion The outcomes of patients with BRV were benign, and the frequency of vertigo is significantly reduced. Few cases developed into vestibular migraine.

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“…Migraine affects 10–13% of the general population [1] and was ranked seventh in the 2010 Global Burden of Disease study [2]. In 36% of migraineurs, the migraine attack is preceded by a prodromal visual experience known as an aura [3]; migraine with aura (MA) is recognized as a specific migraine subtype.…”

Section: Introductionmentioning

confidence: 99%

Migraine and percutaneous patent foramen ovale closure: a systematic review and meta-analysis

Shi

Han

et al. 2017

BMC Cardiovasc Disord

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BackgroundThe association between patent foramen ovale (PFO) and migraine with aura (MA) is well established. However, the benefits of PFO closure are less certain in patients with migraine without aura (MwoA).MethodsWe systematically searched Pubmed for pertinent clinical studies published from January 2000 to July 2015. The primary end-point was the elimination or significant improvement of migraine symptoms after PFO closure.ResultsUpon screening an initial list of 315 publications, we identified eight studies that included 546 patients. Overall, our analysis indicated a significant improvement of migraine in 81% of MA cases compared to only 63% of MwoA cases. The summary odds ratio was 2.5 (95% confidence interval 1.09–5.73), and the benefits of PFO closure were significantly greater for patients with MA compared to patients with MwoA (P = 0.03).ConclusionsThe presence of aura provides a reference standard for the clinical selection of patients with migraine for PFO closure intervention.Electronic supplementary materialThe online version of this article (doi:10.1186/s12872-017-0644-9) contains supplementary material, which is available to authorized users.

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International Classification of Headache Disorders 3rd edition beta-based field testing of vestibular migraine in China: Demographic, clinical characteristics, audiometric findings and diagnosis statues

Cited by 77 publications

References 29 publications

Diagnosis of Vertigo and Dizziness Syndromes in a Neurological Outpatient Clinic

Diagnosis of Vertigo and Dizziness Syndromes in a Neurological Outpatient Clinic

Clinical features and outcomes of benign recurrent vertigo: A longitudinal study

Migraine and percutaneous patent foramen ovale closure: a systematic review and meta-analysis

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