Migraine Patients with or without Vertigo: Comparison of Clinical and Electronystagmographic Findings

Bir, Levent Sinan; Ardıç, Fazíl Necdet; Kara, Cünety Orhan; Akalin, Oktay; Pinar, Hilmi Safak; Celiker, Arif

doi:10.2310/7070.2003.41718

Cited by 44 publications

(35 citation statements)

References 3 publications

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“…A large percentage of patients with VM have been reported to have central ocular motor dysfunctions (COMD; 18.8–65%) such as saccadic pursuit, spontaneous or gaze-evoked nystagmus, and positional nystagmus [5,6,7]. The high incidence (65%) found by Dieterich and Brandt [5] is in line with prior studies that examined migrainous patients with vertigo.…”

Section: Introductionsupporting

confidence: 78%

Long-Term Changes of Central Ocular Motor Signs in Patients with Vestibular Migraine

Neugebauer¹,

Adrion

Glaser³

et al. 2012

Eur Neurol

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Background: A high percentage of patients with vestibular migraine (VM) were reported to have central ocular motor dysfunctions (COMD) in the symptom-free interval. Since VM is a chronic disorder, it is of interest if COMD worsen over time. Methods: Thirty VM patients and 11 control patients participated in an 8-year-long observational study with follow-up. All patients underwent standardized neuro-ophthalmological and neuro-otological examinations at the initial presentation and at follow-up. The primary outcome measure was change in COMD at follow-up. Results: In general, COMD in the symptom-free interval were subtle, consisting of a saccadic horizontal and/or vertical pursuit. At follow-up, significantly more patients with VM had COMD (p = 0.015). The prevalence of COMD increased from 20 to 63% in VM patients. Further, the presence of COMD at follow-up had a positive predictive value of 90.5% for the diagnosis of VM. Successful treatment with prophylactic migraine medication seems to prevent the development and worsening of COMD (p = 0.008). Conclusion: Mild COMD occur in a large percentage of VM patients during the course of the disease. The presence of COMD is predictive of VM in patients with recurrent attacks of vertigo. Prophylactic migraine medication seems to attenuate the development and progression of COMD.

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Section: Introductionsupporting

confidence: 78%

Long-Term Changes of Central Ocular Motor Signs in Patients with Vestibular Migraine

Neugebauer¹,

Adrion

Glaser³

et al. 2012

Eur Neurol

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“…This clearly indicates the coexistence of vestibular anomalies in patients with migraine [10][11][12] . Prior studies have included subjects who underwent a battery of tests in the symptom-free periods but some studies conducted during the acute attack revealed findings that were suggestive of both central vestibular dysfunction and peripheral dysfunction [13] .…”

Section: Subjective Visual Vertical and Horizontal In Vestibular Migrmentioning

confidence: 66%

Subjective Visual Vertical and Horizontal in Vestibular Migraine

Ashish¹,

Augustine²,

Tyagi³

et al. 2017

Int Adv Otol

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OBJECTIVE:To assess the functional status of the otolithic pathway in vestibular migraine by comparing the results of static and dynamic subjective visual vertical and horizontal [subjective visual vertical (SVV) and subjective visual horizontal (SVH)] testing in patients with vestibular migraine with that of normal individuals. MATERIALS and METHODS:This hospital-based prospective study was conducted in 82 normal adults and 66 adults with vestibular migraine. The SVV and SVH angles were measured under static and dynamic conditions using a software-based test protocol. The arithmetic mean of six readings in each situation was considered. The results were further analyzed by stratifying cases and controls into two age groups 20-40 years and 41-60 years and into gender. RESULTS:The clinical profile of the patients with vestibular migraine was comparable to the available literature. The dynamic SVV and SVH in both age groups and the static SVH in the 41-60 years age group were significantly higher compared to normal individuals (p<0.05). The dynamic SVV and SVH were significantly higher in the cases compared to controls among both males and females (p<0.05). CONCLUSION:There is evidence of otolithic pathway abnormalities in individuals with vestibular migraine. The inclusion of SVV and SVH testing for the evaluation of patients with vestibular migraine may be useful in the interpretation and rehabilitation of symptoms in these patients.

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“…Vasospasm in the posterior circulation has been proposed as a mechanism for migraine-associated damage to the inner ear [15]. Caloric weakness may occur in migraine patients [16,17]. Von Brevern et al have reviewed the type of nystagmus during acute attacks of migrainous vertigo.…”

Section: Discussionmentioning

confidence: 99%

Vestibular Evoked Myogenic Potentials in a Female Population with Migraine

Yetışer

Gok

Kutukcu

et al. 2014

Indian J Otolaryngol Head Neck Surg

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The objective is to analyze the vestibular system by vestibular evoked myogenic potential (VEMP) in 30 female patients with migraine and balance problem in a controlled study. Thirty female patients with migraine and vestibular problems were enrolled in the study (2009)(2010)(2011)(2012). Fifteen age-matched healthy subjects were selected as the controls. Air conduction cervical VEMP was used. Tone-burst sound stimuli of 95 dB nHL with rarefaction polarity, 5 Hz stimulus repetition rate, 1 ms rise/fall time and 2 ms plateau time were delivered at 500 Hz. 200 sweeps were averaged. Myogenic responses were amplified and band-pass filtered (800-10 Hz). The latency and the amplitude of p1 and n1 waves and interpeak amplitude and latency differences were measured. Results were given as mean and SDs. Interaural p1 and n1 amplitude greater than 30 % asymmetry was accepted as abnormal. VEMP results were compared with controls. The One-way ANOVA test was used. Statistical significance was set at P \ 0.05. VEMP responses were elicited in all controls and the patients. Comparative analysis of p1 amplitude between the patients and the controls was statistically significant (P = 0.010). P1n1 interaural amplitude difference was greater than 30 % in 4 patients (13.4 %). No statistically significant difference was found when comparing latency of all wave forms between the patients and healthy controls (P [ 0.05). VEMP is an useful tool to test the vestibular system in patients with migraine and balance problem at the very early period. Clinicians should always consider migraine in patients with vertigo.

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Migraine Patients with or without Vertigo: Comparison of Clinical and Electronystagmographic Findings

Cited by 44 publications

References 3 publications

Long-Term Changes of Central Ocular Motor Signs in Patients with Vestibular Migraine

Long-Term Changes of Central Ocular Motor Signs in Patients with Vestibular Migraine

Subjective Visual Vertical and Horizontal in Vestibular Migraine

Vestibular Evoked Myogenic Potentials in a Female Population with Migraine

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