Migraine‐associated Dizziness

Cutrer, F. Michael; Baloh, Robert W.

doi:10.1111/j.1526-4610.1992.hed3206300.x

Cited by 330 publications

(346 citation statements)

References 10 publications

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“…VM may occur at any age [ 16,14,30 ] with a reported female to male ratio between 1.5 and 5 to 1 [ 14,30,18,41 ]. Familial occurrence is not uncommon, probably based on an autosomal dominant pattern of inheritance with decreased penetrance in men [ 47 ].…”

Section: Epidemiology and Demographic Features Of Vestibular Migrainementioning

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%

“…VM often misses not only the duration criterion for an aura as defined by the IHS, but also the temporal relationship to migraine headaches: vertigo can precede headache as would be typical for an aura, may begin with headache or appear late in the headache phase. Many patients experience both attacks with and without headache and in some, vertigo and headache never occur together [ 16,41,30 Psychiatric comorbidity, particularly with anxiety disorders, reaches 65% in VM as compared to only 22% in BPPV [ 20 ]. In an individual patient, both vestibular and psychiatric mechanisms may contribute to the dizziness [ 22 ].…”

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: Epidemiology and Demographic Features Of Vestibular Migrainementioning

confidence: 99%

Section: Clinical Featuresmentioning

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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“…Vasospasm in the posterior circulation has been proposed as a mechanism for migraine-associated damage to the inner ear [15]. Caloric weakness may occur in migraine patients [16,17]. Von Brevern et al have reviewed the type of nystagmus during acute attacks of migrainous vertigo.…”

Section: Discussionmentioning

confidence: 99%

Vestibular Evoked Myogenic Potentials in a Female Population with Migraine

Yetışer

Gok

Kutukcu

et al. 2014

Indian J Otolaryngol Head Neck Surg

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The objective is to analyze the vestibular system by vestibular evoked myogenic potential (VEMP) in 30 female patients with migraine and balance problem in a controlled study. Thirty female patients with migraine and vestibular problems were enrolled in the study (2009)(2010)(2011)(2012). Fifteen age-matched healthy subjects were selected as the controls. Air conduction cervical VEMP was used. Tone-burst sound stimuli of 95 dB nHL with rarefaction polarity, 5 Hz stimulus repetition rate, 1 ms rise/fall time and 2 ms plateau time were delivered at 500 Hz. 200 sweeps were averaged. Myogenic responses were amplified and band-pass filtered (800-10 Hz). The latency and the amplitude of p1 and n1 waves and interpeak amplitude and latency differences were measured. Results were given as mean and SDs. Interaural p1 and n1 amplitude greater than 30 % asymmetry was accepted as abnormal. VEMP results were compared with controls. The One-way ANOVA test was used. Statistical significance was set at P \ 0.05. VEMP responses were elicited in all controls and the patients. Comparative analysis of p1 amplitude between the patients and the controls was statistically significant (P = 0.010). P1n1 interaural amplitude difference was greater than 30 % in 4 patients (13.4 %). No statistically significant difference was found when comparing latency of all wave forms between the patients and healthy controls (P [ 0.05). VEMP is an useful tool to test the vestibular system in patients with migraine and balance problem at the very early period. Clinicians should always consider migraine in patients with vertigo.

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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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Migraine‐associated Dizziness

Cited by 330 publications

References 10 publications

Epidemiology of vertigo, migraine and vestibular migraine

Epidemiology of vertigo, migraine and vestibular migraine

Vestibular Evoked Myogenic Potentials in a Female Population with Migraine

Can Migraine Damage the Inner Ear?

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