Study of clinical correlation of motion sickness in patients with vestibular migraine

Meng, Danyang; Zhou, Xuyou; Hu, Tianye; Zheng, Jialian; Jin, Tingyu; Han, Gaorong; Hu, Jin

doi:10.3389/fnins.2022.986860

Cited by 3 publications

(2 citation statements)

References 51 publications

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“…Symptomatic motion sickness susceptibility (MSS) is common in migraine patients. Even between attacks, migraine patients 3 , 4 , 5 especially those with vestibular migraine (VM) 6 , 7 are particularly susceptible to motion sickness; they can have it when they try to read while riding in a car or bus. 8 , 9 …”

Section: Introductionmentioning

confidence: 99%

One simple question detects motion sickness susceptibility in migraine patients

Akdal,

Özçelik,

Balcı

et al. 2024

Brazilian Journal of Otorhinolaryngology

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Section: Introductionmentioning

confidence: 99%

One simple question detects motion sickness susceptibility in migraine patients

Akdal,

Özçelik,

Balcı

et al. 2024

Brazilian Journal of Otorhinolaryngology

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“…При сборе анамнеза у пациентов с ВМ нередко отмечается, что перед дебютом ВМ, за несколько месяцев или даже лет, выраженность укачивания прогрессирует. Склонность к укачиванию является серьезной проблемой для пациентов с ВМ и может быть потенциальным наводящим фактором для диагностики ВМ [16].…”

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Vestibular migraine: issues of diagnosis and optimization of therapy

Zaitseva,

Baskova,

Latsinova

et al. 2023

RJTAO

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Headache and dizziness are the two most common complaints with which patients turn to physicians of various specialties. A thorough examination often reveals a combination of these two symptoms. Currently, the term “vestibular migraine” (VM) is recognized by the worldwide community of otoneurologists and neurologists as the most appropriate for the combination of vestibular vertigo and migraine headaches. The difficulties in diagnosis and differential diagnosis are related to the lack of possibility to confirm the disease (and to detect) instrumentally and to the fact that the dizziness may be different in different VM episodes, even in one patient. The complexity of therapy is in the need to choose a relatively individualized treatment regimen and in the lack of an ideal vestibular suppressant (which quickly suppresses dizziness and has no significant side effects). In this context, finding the most effective drugs for emergency and elective treatment of patients with VM is undoubtedly important. For patients with VM, the use of the drug Arlevert (dimenhydrinate 40 mg + cinnarizine 20 mg) can be recommended for the relief of acute vestibular crisis at home, since the drug is highly effective and well tolerated. In addition, and most importantly, Arlevert has no known interactions with other medications used for migraine prevention.

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Subjective and objective responses to caloric stimulation help separate vestibular migraine from other vestibular disorders

Hannigan,

Rosengren,

Bharathy

et al. 2023

J Neurol

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Background Nystagmus generated during bithermal caloric test assesses the horizontal vestibulo-ocular-reflex. Any induced symptoms are considered unwanted side effects rather than diagnostic information. Aim We hypothesized that nystagmus slow-phase-velocity (SPV) and subjective symptoms during caloric testing would be higher in vestibular migraine (VM) patients compared with peripheral disorders such as Meniere’s disease (MD) and non-vestibular dizziness (NVD). Methods Consecutive patients (n = 1373, 60% female) referred for caloric testing were recruited. During caloric irrigations, patients scored their subjective sensations. We assessed objective-measures, subjective vertigo (SVS), subjective nausea (SNS), and test completion status. Results Nystagmus SPV for VM, MD (unaffected side), and NVD were 29 ± 12.8, 30 ± 15.4, and 28 ± 14.2 for warm irrigation and 24 ± 8.9, 22 ± 10.0, and 25 ± 12.8 for cold-irrigation. The mean SVS were 2.5 ± 1.1, 1.5 ± 1.33, and 1.5 ± 1.42 for warm irrigation and 2.2 ± 1.1, 1.1 ± 1.19, and 1.1 ± 1.16 for cold-irrigation. Age was significantly correlated with SVS and SNS, (p < 0.001) for both. The SVS and SNS were significantly higher in VM compared with non-VM groups (p < 0.001), and there was no difference in nystagmus SPV. VM patients SVS was significantly different to the SVS of migraineurs in the other diagnostic groups (p < 0.001). Testing was incomplete for 34.4% of VM and 3.2% of MD patients. To separate VM from MD, we computed a composite value representing the caloric data, with 83% sensitivity and 71% specificity. Application of machine learning to these metrics plus patient demographics yielded better separation (96% sensitivity and 85% specificity). Conclusion Perceptual differences between VM and non-VM patients during caloric stimulation indicate that subjective ratings during caloric testing are meaningful measures. Combining objective and subjective measures could provide optimal separation of VM from MD.

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Study of clinical correlation of motion sickness in patients with vestibular migraine

Cited by 3 publications

References 51 publications

One simple question detects motion sickness susceptibility in migraine patients

One simple question detects motion sickness susceptibility in migraine patients

Vestibular migraine: issues of diagnosis and optimization of therapy

Subjective and objective responses to caloric stimulation help separate vestibular migraine from other vestibular disorders

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