Migraine-Related Vestibulopathy

Cass, Stephen P.; Ankerstjerne, Jennifer K. P.; Yetışer, Sertaç; Furman, Joseph M.; Balaban, Carey D.; Aydoǧan, Barlas

doi:10.1177/000348949710600302

Cited by 256 publications

(270 citation statements)

References 22 publications

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“…VM may occur at any age [ 16,14,30 ] with a reported female to male ratio between 1.5 and 5 to 1 [ 14,30,18,41 ]. Familial occurrence is not uncommon, probably based on an autosomal dominant pattern of inheritance with decreased penetrance in men [ 47 ].…”

Section: Epidemiology and Demographic Features Of Vestibular Migrainementioning

confidence: 99%

“…The clinical characteristics of VM have been elucidated by several large case series from specialized dizziness clinics [ 14,16,18,26,30,31,41 Head motion intolerance, íe imbalance, illusory motion and nausea aggravated or provoked by head movements, is a frequent additional symptom [ 14,30 ]. Visual vertigo, which is vertigo provoked by moving visual scenes [traffic, cinema] can be another prominent feature of VM [ 14,61 ].…”

Section: Clinical Featuresmentioning

confidence: 99%

“…Visual vertigo, which is vertigo provoked by moving visual scenes [traffic, cinema] can be another prominent feature of VM [ 14,61 ]. Nausea and imbalance are frequent but unspecific accompaniments of acute VM.…”

Section: Clinical Featuresmentioning

confidence: 99%

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Epidemiology of vertigo, migraine and vestibular migraine

2009

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Both migraine and vertigo are common in the general population with lifetime prevalences of about 16% for migraine and 7% for vertigo. Therefore, a concurrence of the two conditions can be expected in about 1.1% percent of the general population by chance alone. However, recent epidemiological evidence suggests that the actual comorbidity is higher, namely 3.2 %. This can be explained by the fact that several dizziness and vertigo syndromes occur more frequently in migraineurs than in controls including benign paroxysmal positional vertigo, Meniere's disease, motion sickness, cerebellar disorders and anxiety syndromes which may present with dizziness. In addition, there is increasing recognition of a syndrome called vestibular migraine (VM), which is vertigo directly caused by migraine. VM affects more than 1% of the general population, about 10% of patients in dizziness clinics and at least 9% of patients in migraine clinics.Clinically, VM presents with attacks of spontaneous or positional vertigo lasting seconds to days. Migrainous accompaniments such as headache, phonophobia, photophobia or auras are common but not mandatory. Cochlear symptoms may be associated but are mostly mild and non-progressive. During acute attacks one may find central spontaneous or positional nystagmus and, less commonly, unilateral vestibular hypofunction. In the symptom-free interval, vestibular testing adds little to the diagnosis as findings are mostly minor and non-specific. In the absence of controlled studies, treatment of VM is adopted from the migraine sphere comprising avoidance of triggers, stress management as well as pharmacotherapy for acute attacks and prophylaxis.

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Section: Epidemiology and Demographic Features Of Vestibular Migrainementioning

confidence: 99%

Section: Clinical Featuresmentioning

confidence: 99%

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Epidemiology of vertigo, migraine and vestibular migraine

2009

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“…6 Significant comorbidity of Ménière's disease, motion sickness, and benign paroxysmal vertigo with migraine have been reported. [7][8][9][10] There have been some studies on vestibular function in migrainerelated vestibulopathy, 11 however, little is known about vestibular function in those with migraines without manifested vestibulopathy. A computerized static stabilometry is a reliable and non-invasive technique to evaluate equilibrium function and is useful to quantify the vestibulospinal symptoms such as dizziness, vertigo or truncal ataxia.…”

Section: Introductionmentioning

confidence: 99%

Static stabilometry in patients with migraine and tension‐type headache during a headache‐free period

Ishizaki

Mori

Takeshima

et al. 2002

Psychiatry Clin Neurosci

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The vestibulospinal system was evaluated using a stabilometric method in patients with migraine and episodic tension-type headache during headache-free periods. Migraine patients often complain of dizziness or vertigo during headache attacks and some exhibit these symptoms between attacks. Computerized static stabilometry is a reliable and non-invasive technique to evaluate the equilibrium function in various diseases. The subjects consisted of 21 patients with migraine, 12 patients with episodic tension-type headache and, age-and sex-matched controls. We performed two sets of static stabilometric measurements with eyes open (EO) and eyes closed (EC) for 30 s. The averages of two sessions of the following six stabilometric parameters were used for the analysis: locus length (LNG), environmental area (ENV-AREA), rectangle area (REC-AREA), locus length per second, locus length per environ area (L/E), and root mean square area. Romberg quotients (EC/EO) of these six parameters were also analyzed. The mean values of LNG, ENV-AREA and REC-AREA in the EC session in the migraine group were significantly greater than those in the controls (P < 0.05, Mann-Whitney rank sum test). Romberg quotients of all stabilometric parameters except the L/E in the migraine group were significantly greater than in the controls. Patients with episodic tension-type headache did not show any differences in the stabilometric study from the controls. The present findings suggest that patients with migraine show a significant increase of the body sway during the EC session, which indicates an underlying dysfunction in the vestibulospinal system.

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“…All types of dizziness can be seen in patients with migraine and has been shown to be higher than in the general population [1,2]. Epidemiological studies suggest that co morbidity of migraine and vertigo is 4.5 % for women and 1.5 % for men [3].…”

Section: Introductionmentioning

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-Related Vestibulopathy

Cited by 256 publications

References 22 publications

Epidemiology of vertigo, migraine and vestibular migraine

Epidemiology of vertigo, migraine and vestibular migraine

Static stabilometry in patients with migraine and tension‐type headache during a headache‐free period

Vestibular Evoked Myogenic Potentials in a Female Population with Migraine

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