Neuro-Otological Manifestations of Migraine

Kayan, A; Hood, J. D.

doi:10.1093/brain/107.4.1123

Cited by 461 publications

(444 citation statements)

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“…Vertigo is two to three times more common in patients with migraine than in headache-free controls [ 33,59 ] and in patients with tension-type headaches [ 31 ]. Vice versa, the prevalence of migraine has been shown to be elevated among patients with unclassified or idiopathic vertigo [ 2,34,54 ].…”

Section: Epidemiological Association Of Migraine and Vertigomentioning

confidence: 99%

“…Motion sickness is more prevalent in patients with migraine (30% to 70%) than in headachefree controls or tension headaches (20% to 40%) [ 19,31,33,38 ]. The association is more pronounced in children [ 6 ] and in migraine with aura [ 33 ] Migraineurs are also prone to "visual vertigo" induced by optokinetic stimuli [ 33,19 ], which can be conceptualized as a decreased threshold for visual-vestibular interaction.…”

Section: Motion Sicknessmentioning

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%

“…The duration of vertigo ranges from seconds (about 10%) and minutes (30%) to hours (30%) and several days (30%) [ 16,30,31,18,58 ] For some patients, it may take weeks to fully recover from an attack. The attacks may occur days, months or even years apart in an irregular fashion.…”

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: Epidemiological Association Of Migraine and Vertigomentioning

confidence: 99%

Section: Motion Sicknessmentioning

confidence: 99%

Section: Clinical Featuresmentioning

confidence: 99%

Section: Clinical Featuresmentioning

confidence: 99%

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Epidemiology of vertigo, migraine and vestibular migraine

2009

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“…1 Occasionally, migraine patients complain of dizziness or vertigo. [2][3][4] Familial hemiplegic migraine (FHM), a specific form of migraine headaches, has been revealed to be due to a mutation in the P/Q type Ca channel gene (CACNL). 5 Familial hemiplegic migraine patients with CACNL mutation show cerebellar atrophy.…”

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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Can Migraine Damage the Inner Ear?

Lee¹,

López²,

Ishiyama³

et al. 2000

Arch Neurol

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The sudden left-sided deafness likely resulted from ischemia, possibly due to migraine-associated vasospasm. Presumably, the right ear suffered only minimal damage when the patient was 50 years old, but this damage later led to the development of delayed endolymphatic hydrops on the right. Otolithic crises are thought to result from pressure changes across the utricular macule. We speculate that loss of hair cells in the utricular macule resulted from a collapse of the utricular membrane onto the macule.

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Neuro-Otological Manifestations of Migraine

Cited by 461 publications

References 0 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

Can Migraine Damage the Inner Ear?

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