Prevalence of Vertigo, Dizziness, and Migrainous Vertigo in Patients With Migraine

Vuković, Vlasta; Plavec, Davor; Galinović, Ivana; Lovrenčić-Huzjan, Arijana; Budišić, Mislav; Demarin, Vida

doi:10.1111/j.1526-4610.2007.00939.x

Cited by 127 publications

(114 citation statements)

References 40 publications

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“…Vertigo is two to three times more common in patients with migraine than in headache-free controls [ 33,59 ] and in patients with tension-type headaches [ 31 ]. Vice versa, the prevalence of migraine has been shown to be elevated among patients with unclassified or idiopathic vertigo [ 2,34,54 ].…”

Section: Epidemiological Association Of Migraine and Vertigomentioning

confidence: 99%

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: Epidemiological Association Of Migraine and Vertigomentioning

confidence: 99%

Epidemiology of vertigo, migraine and vestibular migraine

2009

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“…Brantberg et al [11] found that only half the MRV patients have never had a headache simultaneously with their vertigo attacks. Vuković et al [7] reported that in one group of migraine patients who experienced vertigo in their lifetime, vertigo symptoms coincided with the migraine attack in only 23.2% of patients.…”

Section: Discussionmentioning

confidence: 99%

“…There are different epidemiologic studies which confirmed this relationship [1][2][3][4][5][6][7], and in the last few years, many authors have published studies which throw fresh light on a new concept of migraine as a cause of various forms of vestibular dysfunctions.…”

Section: Introductionmentioning

confidence: 99%

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Migraine-Related Vertigo: Eight Years of Experience with Pharmacologic Prophyilaxis

Maione¹,

Politi²,

Pavin

2011

Headache Research and Treatment

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In 2001, our dizziness unit elaborated a diagnostic-therapeutic protocol for patients affected by migraine-related vertigo (MRV). This protocol contemplated the selection from March 2001 to December 2009 of 98 patients affected by MRV out of 1357 consecutive patients who came to our dizziness unit and the administration of pharmacologic prophylaxis. The results obtained constitute the object of this prospective, observational study. The efficacy of a 6-month treatment was registered by the patients by means of a self-assessment questionnaire where the results were divided into 5 categories, and, in case of patients with recurrent vertiginous attack, we recorded the percentage of the reduction in the frequency of the attacks. Of the sixty-four patients who completed the treatment, 43 (67.2%) reported complete resolution or substantial control, and, of the 57 patients suffering from recurrent vertigo attacks, 44 (77.2%) reported a reduction in the frequency of the attacks of at least 50%.

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“…Symptoms vary for each individual, and the duration and frequency of vestibular symptoms may change over time [12]. In a 2007 retrospective review, Vuković et al [13] compared the prevalence of dizziness among those with and without migraines. The authors reported that 51.7% of 327 migraine patients experienced vertigo in their lifetime compared with 31.5% of 324 people in the control group.…”

Section: Clinical Presentationmentioning

confidence: 99%