Vestibular migraine

Stolte, Benjamin; Holle, Dagny; Naegel, Steffen; Diener, Hans‐Christoph; Obermann, Mark

doi:10.1177/0333102414535113

Cited by 94 publications

(99 citation statements)

References 64 publications

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“…Cortical spreading depression (CSD) in both multisensory vestibular areas of the cortex and brainstem was used as an explanation for ' aura'-like dizziness/vertigo attacks with consecutive headache. However, an isolated CSD, which is limited to the brain stem without causing any other symptoms, is not very likely 25 . Some authors suggested a genetic inheritance.…”

Section: Pathophysiologymentioning

confidence: 99%

“…The duration of attacks can vary from a few seconds (10% of patients) to some minutes (30% of patients), some hours (30% of patients) and even up to a few days (30% of patients) 25 . Only 10-30% of patients described a typical vestibular aura.…”

Section: Clinical Presentationmentioning

confidence: 99%

“…Basilar migraine requires at least two aura symptoms, which are assignable to the vertebrobasilar territory, lasting between 5 and 60 minutes and followed by a typical migraine headache 25 . Less than 10% of the patients with VM meet the criteria for basilar type migraine 2 .…”

Section: Differential Diagnosismentioning

confidence: 99%

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Vestibular migraine: diagnosis challenges and need for targeted treatment

Barbosa

Villa

2016

Arq. Neuro-Psiquiatr.

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Approximately 1% of the general population suffers from vestibular migraine. Despite the recently published diagnostic criteria, it is still underdiagnosed condition. The exact neural mechanisms of vestibular migraine are still unclear, but the variability of symptoms and clinical findings both during and between attacks suggests an important interaction between trigeminal and vestibular systems. Vestibular migraine often begins several years after typical migraine and has a variable clinical presentation. In vestibular migraine patients, the neurological and neurotological examination is mostly normal and the diagnosis will be based in the patient clinical history. Treatment trials that specialize on vestibular migraine are scarce and therapeutic recommendations are based on migraine guidelines. Controlled studies on the efficacy of pharmacologic interventions in the treatment of vestibular migraine should be performed.

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Section: Pathophysiologymentioning

confidence: 99%

Section: Clinical Presentationmentioning

confidence: 99%

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Vestibular migraine: diagnosis challenges and need for targeted treatment

Barbosa

Villa

2016

Arq. Neuro-Psiquiatr.

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“…There must be at least five episodes with vestibular symptoms of moderate or severe intensity lasting between five minutes and 72 hours, a current or past history of migraine without aura or migraine with aura, and at least 50% of the episodes have to be associated with migrainous features such as characteristic migraine headache, photophobia, phonophobia or visual aura. [4] Less than 10% of patients with VM meet these criteria. [3][4][5][6][7] Because there is no specific symptom to diagnose VM, its diagnosis is based on patient history.…”

mentioning

confidence: 99%

“…[4] Less than 10% of patients with VM meet these criteria. [3][4][5][6][7] Because there is no specific symptom to diagnose VM, its diagnosis is based on patient history. According to the classification by IHS and Neuhauser, phonophobia and photophobia during headache are both probable and definite diagnostic criteria.…”

mentioning

confidence: 99%

Evaluation of phonophobia with audiological tests in vestibular migraine patients

Göde¹

2017

Kulak Burun Bogaz Ihtis Derg

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Objectives: This study aims to review the diagnostic value of loudness discomfort level (LDL) and short increment sensitivity index (SISI) measurements in patients with vestibular migraine. Patients and Methods:The study included 20 vestibular migraine patients (group 1; 5 males, 15 females; mean age 42.1 years; range 16 to 60 years) and 20 healthy controls (group 2; 6 males, 14 females; mean age 20.3 years; range 18 to 30 years). Pure tone audiometry, SISI, tympanometry, and LDL test were performed. Results:Median LDL scores in groups 1 and 2 were 99.50 dB (interquartile range: 19.5) and 105 dB (interquartile range: 6), respectively. LDL scores were significantly lower in group 1 (p<0.05). According to the receiver operating characteristic analysis of LDL measurements, the area under curve was 0.76 (p<0.05) when vestibular migraine was the selection criterion. When 103.5 dB was taken as the cut-off point, the sensitivity of LDL test was 75% and specificity was 82%. There was no significant relationship between the SISI scores and phonophobia (p>0.05). Conclusion:To our knowledge, this is the first study to show the potential diagnostic value of LDL as an audiological test in vestibular migraine. Further studies are warranted to elucidate the diagnostic value of LDL in the differential diagnosis of episodic vertigo.Keywords: Loudness discomfort level; phonophobia; short increment sensitivity index; vestibular migraine. ÖZAmaç: Bu çalışmada vestibüler migren hastalarında rahatsız edici ses düzeyi (LDL) ve short increment sensitivity index (SISI) ölçümlerinin tanısal değeri incelendi. Bulgular: Grup 1 ve 2'de medyan LDL skorları sırasıyla 99.50 dB (çeyrekler açıklığı: 19.5) ve 105 dB (çeyrekler açıklığı: 6) idi. LDL skorları grup 1'de anlamlı olarak daha düşük idi (p<0.05). Vestibüler migren seçim ölçütü olduğunda, LDL ölçümlerinin alıcı işletim karakteristiği analizine göre eğri altında kalan alan 0.76 (p<0.05) idi. Eşik noktası olarak 103.5 dB belirlendiğinde, LDL testinin duyarlılığı %75, özgüllüğü ise %82 idi. SISI skorları ve fonofobi arasında anlamlı ilişki yoktu (p>0.05).Sonuç: Bildiğimiz kadarıyla, LDL'nin vestibüler migrende bir odyolojik test olarak potansiyel tanısal değerini gösteren ilk çalışma budur. LDL'nin epizodik vertigonun ayırıcı tanısındaki tanısal değerinin aydınlatılması için ileri çalışmalara gereksinim vardır.Anahtar Sözcükler: Rahatsız edici ses düzeyi; fonofobi; short increment sensitivity index; vestibüler migren.

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