How Caloric Vestibular Irritation Influences Migraine Attacks

Kolev, Ognyan I.

doi:10.1046/j.1468-2982.1990.1004167.x

Cited by 21 publications

(13 citation statements)

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“…The main mechanism of VM is currently considered as the connection of trigeminal caudal nucleus with vestibular nucleus (Furman et al, 2013;Huang et al, 2020), so the vestibular stimulation and migraine headache could interact with each other. A study showed that headaches completely disappeared or reduced in strength after vestibular thermal stimulation during migraine attacks (Kolev, 1990), which suggested that the painful conduction pathway might be inhibited after the activation of the vestibular pathway. On the other hand, both the prevalence of migraine and VM was significantly higher in females than males, and Group A: the onset of migraine was earlier than vertigo; VAS: visual analog scale.…”

Section: Discussionmentioning

confidence: 99%

Temporal Patterns of Vertigo and Migraine in Vestibular Migraine

et al. 2020

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Vestibular migraine (VM) is a multidisciplinary disease under exploration. Multiple temporal patterns of vertigo and migraine make it difficult to diagnose VM, and their effect on the clinical features of VM is still unclear. Here we investigated the clinical features of VM under three temporal patterns. 172 VM patients were enrolled in this study and divided into three groups: 86 patients in group A had an earlier onset of migraine than vertigo, 35 patients in group B had an earlier onset of vertigo than migraine, and 51 patients in group C had concurrent vertigo and migraine. No significant difference was found among three groups regarding types, intensity and accompanying symptoms of the vestibular attack. Patients in group C presented higher frequency and longer duration of vertigo than group A and B, while patients in group A presented lower frequency and shorter duration of headaches than group B and C. Additionally, the frequency, duration, intensity and accompanying symptoms of headache in group A decreased significantly after the onset of vertigo, especially in women around menopause. We hypothesized that vestibular stimulation could inhibit the trigeminal pain pathway, while painful trigeminal stimulation could excite the vestibular system. Our findings may contribute to the clinical identification of VM and further clarification of its pathogenesis.

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Section: Discussionmentioning

confidence: 99%

Temporal Patterns of Vertigo and Migraine in Vestibular Migraine

et al. 2020

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“…33 Many authors have applied vestibular and auditory testing in patients diagnosed with migraine-related auditory-vestibular dysfunction in an attempt to establish a pattern for vestibular findings that would support the diagnosis of this condition. Another aim of vestibular testing would be to differentiate migraine-related auditory-vestibular dysfunction from the initial stages of MS. 16,20,22,23,36,37,38 …”

Section: Clinical and Diagnostic Findingsmentioning

confidence: 99%

Enxaqueca associada a disfunção auditivo-vestibular

Cal¹,

Bahmad

2008

Rev. Bras. Otorrinolaringol.

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The association between hearing and balance disorders with migraine is known since the times of the ancient Greeks, when Aretaeus from Cappadocia in 131 B.C, made an accurate and detailed description of this occurrence during a migraine episode. We present a broad review of migraine neurotological manifestations, using the most recent publications associated with epidemiology, clinical presentation, pathophysiology, diagnostic methods and treatment for this syndrome. Aim: to describe the clinical entity: "Migraine associated with auditoryvestibular dysfunction" in order to help otorhinolaryngologists and neurologists in the diagnosis and management of such disorder. Final Remarks: There is a strong association between neurotological symptoms and migraine, and the auditory-vestibular dysfunction-associated migraine is the most common cause of spontaneous episodic vertigo (nonpositional). Symptoms may vary broadly among patients, making it a diagnostic challenge to the otorhinolaryngologist. This entity usually presents with positional or spontaneous vertigo spells, lasting for seconds or days, associated with migraine symptoms. A better understanding of the relationship between central vestibular mechanisms and migraine mechanisms, besides the discovery of ionic channel disorders in some cases of migraine, ataxia and vertigo, may lead to a better understanding of migraine pathophysiology associated with audio-vestibular disorder.

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“…Furthermore, recent transcranial Doppler sonography data demonstrate that CVS treatment with the device elicits changes in cerebrovascular dynamics that point to brainstem neuromodulation . Second, irrigation calorics have been shown, albeit in small, uncontrolled samples, to acutely mitigate pain, including pain experienced during migraine attacks …”

Section: Introductionmentioning

confidence: 99%