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

Ishizaki, Kumiko; Mori, Nozomi; Takeshima, Takao; Fukuhara, Yoko; Ijiri, Tamami; Kusumi, Masayoshi; Yasui, Kenichi; Kowa, Hisanori; Nakashima, Kenichiro

doi:10.1046/j.1440-1819.2002.00933.x

Cited by 71 publications

(115 citation statements)

References 29 publications

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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: 69%

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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Section: Subjective Visual Vertical and Horizontal In Vestibular Migrmentioning

confidence: 69%

Subjective Visual Vertical and Horizontal in Vestibular Migraine

Ashish¹,

Augustine²,

Tyagi³

et al. 2017

Int Adv Otol

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“…However, the mechanisms of migraine-related vestibular symptoms remain unknown. Patients with migraine-related dizziness often show directional preponderance during caloric stimulation and rotational testing [6], excessive postural sway in challenging circumstances [7], and a higher prevalence of peripheral vestibular dysfunction than would be expected in patients with purely central vestibular abnormalities [8,9]. A recent report on migraine-related dizziness also found reduced semicircular canal-ocular reflex gain, a slightly larger modulation component of the otolith-ocular reflex during constant velocity off-vertical axis rotation (OVAR), and increased postural sway during optic flow stimulation [10].…”

Section: Introductionmentioning

confidence: 99%

Vestibular dysfunction in migraine: effects of associated vertigo and motion sickness

et al. 2009

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The mechanisms of vestibular migraine and motion sickness remain unknown. The aims of this study were to determine interictal vestibular dysfunction in migraineurs according to associated dizziness/vertigo and motion sickness, and to find out whether impaired uvulonodular inhibition over the vestibular system underlies the vestibular symptoms and signs by measuring tilt suppression of the vestibulo-ocular reflex (VOR). One hundred and thirty-one patients with migraine [65 with vestibular migraine (MV), 41 with migrainous dizziness (MD), and 25 with migraine only (MO)] and 50 normal controls underwent evaluation of vestibular function. Motion sickness was assessed using the motion sickness susceptibility questionnaire (MSSQ) and subjective scale. Compared with normal controls and MO group, patients with MV/MD showed increased VOR time constant (TC) and greater suppression of the post-rotatory nystagmus with forward head tilt. The mean MSSQ score and subjective scale were highest in MV group, followed by MD, MO, and controls (p = 0.002, p < 0.001). Multiple linear regression model analyses revealed that motion sickness is an independent factor of TC prolongation (p = 0.024). Twenty-eight (21.4%) patients with migraine also showed perverted head shaking nystagmus and 12 (9.2%) had positional nystagmus. In view of the increased tilt suppression of the VOR, we speculate that dysfunction of the nodulus/uvula may not account for the prolonged TCs in MD/MV. Instead, innate hypersensitivity of the vestibular system may be an underlying mechanism of motion sickness and increased TC in MD/MV. The increased tilt suppression may be an adaptive cerebellar mechanism to suppress the hyperactive vestibular system in migraineurs.

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“…A wide range of peripheral and central abnormalities from a variety of neuro-otological tests have been presented [Cutrer and Baloh, 1992;Ishizaki et al, 2002;Kayan and Hood, 1984;Neuhauser and Lempert, 2005;Olsson, 1991]. A meta-analysis by Furman et al [2003] showed that approximately one quarter of patients with migraine and migraine-related dizziness have a peripheral vestibular abnormality.…”

Section: Introductionmentioning

confidence: 99%

Neuro-Otological Findings in Patients with Migraine- and Nonmigraine-Related Dizziness

Vitkovic

Paine²,

Rance³

2007

Audiol Neurotol

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This study presents the neuro-otological findings of 523 patients attending a tertiary vestibular clinic with migraine- and nonmigraine-related dizziness. Subjects were categorized into one of 4 groups, definite migrainous vertigo, probable migrainous vertigo, vestibular disorder coexisting with migraine and nonmigraine-related dizziness. No notable relationship was found between the numbers of abnormal findings between the groups for the majority of the neuro-otological tests. However, there was a significant trend in emetic response to caloric testing. The definite migrainous vertigo group were at least 4 times more likely to be nauseous to caloric testing than any other migraine category. This difference was independent of the magnitude of caloric responses between the emetic migraine groups. While further investigation is required, this study has potentially identified that nauseous/emetic response to caloric stimulation may be a distinguishing factor between migrainous vertigo and other vestibular disorders including those with a coexisting history of migraine.

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

Cited by 71 publications

References 29 publications

Subjective Visual Vertical and Horizontal in Vestibular Migraine

Subjective Visual Vertical and Horizontal in Vestibular Migraine

Vestibular dysfunction in migraine: effects of associated vertigo and motion sickness

Neuro-Otological Findings in Patients with Migraine- and Nonmigraine-Related Dizziness

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