Exploring the frontiers of vestibular migraine: A case series

Domínguez-Durán, Emilio; Domènech‐Vadillo, Esther; Martínez, Carmen Bécares; Montilla-Ibáñez, María Alharilla; Sande, María Guadalupe Álvarez-Morujo de; González-Aguado, Rocío; Guerra-Jiménez, Gloria

doi:10.3233/ves-201559

Cited by 5 publications

(12 citation statements)

References 15 publications

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“…Of the six articles without numeric age-group data, five studies found no influence of age on treatment outcome after one CRP. 24,29,37,42,61 Korres et al 51 found a better initial response to treatment in the younger age group (p < 0.001). 51…”

Section: Treatment Efficacy After One Maneuvermentioning

confidence: 94%

“…Seventeen prospective studies, [18][19][20][21][22][23][24][25][26][27][28][29][30][31][32][33][34] four randomized controlled trials, [35][36][37][38] one non-randomized controlled trial, 39 two randomized trials, 40,41 and 21 retrospective studies were included. 8,26,[42][43][44][45][46][47][48][49][50][51][52][53][54][55][56][57][58][59][60] An overview of the methodological quality assessment is provided in Table S1.…”

Section: Risk Of Bias In Individual Studiesmentioning

confidence: 99%

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Effect of age on treatment outcomes in benign paroxysmal positional vertigo: A systematic review

Laurent

Vereeck

Verbecque

et al. 2021

J American Geriatrics Society

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Background: Benign paroxysmal positional vertigo (BPPV) can lead to an increased fall risk in older adults. Therefore, we examined the influence of age on the effectiveness of canalith-repositioning procedures (CRPs) for the treatment of BPPV.Methods: Pubmed, Web of Science, and the bibliographies of selected articles were searched for studies conducted before September 2020 that examined the effectiveness of treatments for BPPV in various age groups. Meta-analyses were performed to compare treatment effectiveness and recurrence rates for younger and older adults. Odds ratios were calculated in a random-effects model. Mean differences were calculated using a fixedeffects model. A significance level of p < 0.05 (95% confidence interval) was set. The risk of bias and the methodological quality of all included articles were examined.Results: Forty-five studies were retrieved after full-text screening, of which 29 studies were included for a qualitative review. The remaining 16 studies were eligible for inclusion in the meta-analysis (3267 participants with BPPV).The success rate of a single CRP was higher in the younger group (72.5% vs. 67%, p < 0.001). An average of 1.4 and 1.5 CRPs was needed for complete recovery in the younger and older groups, respectively (p = 0.02). However, global treatment success did not differ between these groups (97.5% vs. 94.6%, p = 0.41). The recurrence rate was higher in the older population (23.2% vs. 18.6%, p = 0.007).Conclusions: Although more CRPs are needed, the rate of complete recovery in older adults is similar to that observed in younger adults.

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Section: Treatment Efficacy After One Maneuvermentioning

confidence: 94%

Section: Risk Of Bias In Individual Studiesmentioning

confidence: 99%

Effect of age on treatment outcomes in benign paroxysmal positional vertigo: A systematic review

Laurent

Vereeck

Verbecque

et al. 2021

J American Geriatrics Society

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“…It is still unknown whether recurrent vestibular symptoms not otherwise specified (RVS-NOS) that do not fulfill any of the criteria of so far established entities are part of the spectrum of established disorders, or a single disease entity with distinct pathognomonic features, or a heterogeneous group of different disorders (18). Since the existing diagnostic criteria for vestibular disorders rely mainly on clinical presentation, the aim of the present study was to systematically categorize all vestibular symptoms in patients with RVS-NOS using the Bárány Vestibular Symptoms grid.…”

Section: Introductionmentioning

confidence: 99%

Recurrent Vestibular Symptoms Not Otherwise Specified: Clinical Characteristics Compared With Vestibular Migraine and Menière's Disease

et al. 2021

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Despite the huge progress in the definition and classification of vestibular disorders within the last decade, there are still patients whose recurrent vestibular symptoms cannot be attributed to any of the recognized episodic vestibular syndromes, such as Menière's disease (MD), vestibular migraine (VM), benign paroxysmal positional vertigo (BPPV), vestibular paroxysmia, orthostatic vertigo or transient ischemic attack (TIA). The aim of the present international, multi-center, cross-sectional study was to systematically characterize the clinical picture of recurrent vestibular symptoms not otherwise specified (RVS-NOS) and to compare it to MD and VM. Thirty-five patients with RVS-NOS, 150 patients with VM or probable VM and 119 patients with MD were included in the study. The symptoms of RVS-NOS had been present for 5.4 years on average before inclusion, similar to VM and MD in this study, suggesting that RVS-NOS is not a transitory state before converting into another diagnosis. Overall, the profile of RVS-NOS vestibular symptoms was more similar to VM than MD. In particular, the spectrum of vestibular symptom types was larger in VM and RVS-NOS than in MD, both at group comparison and the individual level. However, in contrast to VM, no female preponderance was observed for RVS-NOS. Positional, head-motion and orthostatic vertigo were reported more frequently by patients with RVS-NOS than MD, while external vertigo was more prevalent in the MD group. At group level, the spectrum of attack durations from minutes to 3 days was evenly distributed for VM, while a small peak for short and long attacks in RVS-NOS and a big single peak of hours in MD were discernible. In general, vertigo attacks and associated vegetative symptoms (nausea and vomiting) were milder in RVS-NOS than in the other two disorders. Some patients with RVS-NOS described accompanying auditory symptoms (tinnitus: 2.9%, aural fullness and hearing loss: 5.7% each), migrainous symptoms (photophobia, phonophobia or visual aura in 5.7% each) or non-migrainous headaches (14%), but did not fulfill the diagnostic criteria for MD or VM. Absence of a life time diagnosis of migraine headache and attack duration of <5 min were further reasons not to qualify for VM. In some RVS-NOS patients with accompanying ear symptoms, attack durations of <20 min excluded them from being diagnosed with MD. These findings suggest that RVS-NOS is a stable diagnosis over time whose overall clinical presentation is more similar to VM than to MD. It is more likely to be composed of several disorders including a spectrum of mild or incomplete variants of known vestibular disorders, such as VM and MD, rather than a single disease entity with distinct pathognomonic features.

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“…There are limited researches on the clinical differences between cVM and pVM, and some studies suggest that the patient groups’ characteristics were most pronounced for definite diagnoses ( Oh et al, 2021 ), and there are other studies that support this conclusion, suggesting that utriculo-ocular pathway dysfunction is more frequent in VM than pVM ( Fujimoto et al, 2020 ). In addition to these discussions between cVM and pVM, some studies suggest that the current criteria of VM is questionable and needs to be further refined and expanded ( Dominguez-Duran et al, 2021 ; Chae et al, 2022 ). The results of this study showed that women with cVM were approximately 3–4 times more likely than male patients, and their age matched a normal distribution, with a high prevalence in middle-aged women around 50 years of age, which is consistent with previous studies ( Dieterich and Brandt, 1999 ).…”

Section: Discussionmentioning

confidence: 99%

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

Meng

Zhou²,

Hu³

et al. 2022

Front. Neurosci.

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ObjectiveIn this study, clinical data from vestibular migraine (VM) patients and healthy control populations were collected to analyze the clinical data of VM patients, especially the history of motion sickness, and to understand their clinical characteristics.MethodsAccording to VM diagnostic criteria, 140 patients diagnosed with confirmed VM (cVM) and probable VM (pVM) who attended the outpatient and inpatient ward of Jiaxing First Hospital between August 2017 and June 2021, as well as 287 healthy check-ups in the health management center, were analyzed and compared in terms of age, gender, and previous history of motion sickness.ResultsA comparison of clinical data related to VM patients and the control population showed that there were more women in the VM group (P < 0.01) and that patients in the VM group were older (P < 0.05) and had a higher prevalence of history of motion sickness history (P < 0.01). Analysis after matching gender and age revealed that patients in the cVM group were older than those in the pVM group (P < 0.05), but the proportion of motion sickness was lower than in the pVM group (P < 0.05). The age of the patients in the cVM group was mainly distributed around 50 years of age, following a normal distribution, whereas the age distribution of the patients in the pVM group did not have a significant trend of age concentration and was distributed at all ages.ConclusionThe history of motion sickness is significant in patients with VM and may be a potential suggestive factor for the diagnosis of VM.

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Exploring the frontiers of vestibular migraine: A case series

Cited by 5 publications

References 15 publications

Effect of age on treatment outcomes in benign paroxysmal positional vertigo: A systematic review

Effect of age on treatment outcomes in benign paroxysmal positional vertigo: A systematic review

Recurrent Vestibular Symptoms Not Otherwise Specified: Clinical Characteristics Compared With Vestibular Migraine and Menière's Disease

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

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