Migraine associated with auditory-vestibular dysfunction

Abstract

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 (non-positional). 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.

Introductory Chapter

“…It is believed that a multifactorial inheritance is the best response, in which the necessary conditions are met to lead to mal absorption of the endolymph and, subsequently, to dropsy. Clinical and laboratory evidence supports this concept [1][2][3][4].…”

“…Even after the vestibular component becomes obvious, long periods of re-mission may mask the complete inal image of the syndrome with episodic vertigo, luctuating autistic loss, tinnitus, and aural fullness. Therefore, generally in clinical practice only moderate to severe cases are tabulated in the estimates so far [1][2][3].…”

Vestibular and balance testing in childhood migraine

“…There have been reports of central and peripheral deficits in migraine‐related vestibulopathy and BRVC 6, 7. However, the methodology in these reports has varied.…”

“…However, the methodology in these reports has varied. Chang and Young reported on a group of 20 patients diagnosed with BRVC and found an abnormal caloric and/or vestibular‐evoked myogenic potential (VEMP) response in 75% of patients 7. This caloric weakness was determined by monothermal caloric testing; abnormal VEMP latencies were based on a control group of only 20 patients; and there was a lack of confirmation of the pathologic diagnosis by a pediatric neurologist.…”

Caffeine and Meniere’s Disease

“…It is related to cervical problems, cardiovascular problems, migraine, metabolic and/or hormonal changes, psychiatric disorders, neurological diseases, and the use of medications such as antibiotics, anti-inlammatories, diuretics, and psychotropic substances with labyrinthine disorders [28][29][30][31].…”