Vestibular migraine: Our experiences at a tertiary care teaching hospital of Eastern India

Swain, Santosh Kumar; Behera, Ishwar Chandra; Sahoo, Loknath

doi:10.4103/mjdrdypu.mjdrdypu_201_19

Cited by 8 publications

(5 citation statements)

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“…[1][2][3][4][5][6][7][8] Among Indian patients with dizziness, researchers reported that 30.35% fulfilled the criteria of VM. 9 The onset of VM is commonly seen at the mean age of 38-50 years. 1 VM is also found to be prevalent in children, affecting about 24%-56% of those suffering from vertigo, with 30% of children fulfilling the criteria of definite VM.…”

Section: Burden Of Diseasementioning

confidence: 99%

Vestibular migraine and its management in Indian clinical setting: a narrative review

M.,

Bijlani,

Roy

2023

Int J Otorhinolaryngol Head Neck Surg

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Vestibular migraine (VM) is a disorder connecting two clinical conditions, migraine and vertigo. A high prevalence of VM (~30%) is reported among Indians suffering from dizziness. Yet, there is no gold standard for diagnosis and treatment. Trials specifically for patients with VM are scarce. This review provides an overview on VM and its management in the Indian clinical setting. An evidence-based discussion and review of literature on VM was performed by expert panelists, and opinions were gathered. Experts opined that in vertigo clinics, around 50% of patients are diagnosed with VM, with a higher predominance in females aged 30-50 years, while in children, the age of manifestation is 12-14 years. The most common presenting symptoms of VM among adults are spontaneous vertigo, followed by positional vertigo with headache, nausea, vomiting, photophobia and phonophobia, while intolerance to loud sounds and sudden falls are common symptoms in children with VM. Common comorbidities associated with VM are benign paroxysmal positional vertigo (BPPV) and Meniere’s disease (MD). Experts opined that there are currently no approved standardized treatment protocols for VM. The steps in the management of VM include diet and lifestyle modification, along with medicines for symptomatic relief (abortive) and prophylaxis and vestibular rehabilitation. Globally, prochlorperazine, a vestibular suppressant, is widely used for the management of vertigo and its associated symptoms. According to experts, prochlorperazine 5 mg twice or thrice daily for 5-7 days can play a significant role as an abortive treatment in the management of various patient profiles of VM.

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Section: Burden Of Diseasementioning

confidence: 99%

Vestibular migraine and its management in Indian clinical setting: a narrative review

M.,

Bijlani,

Roy

2023

Int J Otorhinolaryngol Head Neck Surg

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“…27,28 Up to 40% of pregnant women experience VM and the duration of vertigo may range from minutes to hours. 29 Other than classical features of VM, the patient may complain of tinnitus in bilateral ears in comparison to nonpregnant females. 27 Videonystagmography often shows persistent positional nystagmus or saccadic pursuits in case of long-standing VM.…”

Section: Vestibular Migrainementioning

confidence: 99%

Vertigo during pregnancy: a review

Swain

2022

Int J Otorhinolaryngol Head Neck Surg

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<p>Vertigo is defined as a false sensation of movements where a patient gets a rotating perception of the environment or oneself. Vertigo and dizziness are commonly experienced during the pregnancy period and are among the most common complaint by pregnant women to the primary care physicians. Vertigo during pregnancy affects the quality of life of women and also has an impact on the fetus. Pregnancy is an important nine-month physiological period of female life. During pregnancy, the body of the female undergoes several physiological changes that affect all systems and organs, including sensory ones. There are significant changes during pregnancy including otological and neurotological manifestations. Vertigo/dizziness is a common complaint during pregnancy to the clinicians. Benign paroxysmal positional vertigo (BPPV), Meniere’s disease (MD), vestibular neuritis and vestibular migraine are common vestibular disorders result in vertigo during pregnancy. Vertigo during pregnancy directly affects the pregnant mother both mentally and physically. A multidisciplinary approach by otolaryngologists, neurologists, and gynaecologist and obstetricians is required for proper evaluation and management of vertigo in pregnant women. Currently, there are no guidelines for the management of vertigo in pregnancy. Little has been reported about vertigo during pregnancy. We performed a narrative review of vertigo in pregnant women.</p>

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“…29,30 Up to 40% of pregnant women experience VM and the duration of vertigo may range from minutes to hours. 31 Other than classical features of VM, the patient may complain of tinnitus in bilateral ears in comparison to nonpregnant females. 29 Videonystagmography often shows persistent positional nystagmus or saccadic pursuits in case of long-standing VM.…”

Section: Vestibular Migrainementioning

confidence: 99%

Audiovestibular manifestations during pregnancy: a review

Swain

2022

Int J Res Med Sci

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Pregnancy is nine-month duration physiological process with psychological, cardiovascular, and hormonal changes that affects different organs of the pregnant women. Any organs of the body can be affected during pregnancy due to hormonal changes so as in audiovestibular system. There are several audiovestibular manifestations occur during pregnancy such as hearing loss, otosclerosis, tinnitus, autophony, facial nerve palsy, and vertigo manifested as first time or get exacerbated during pregnancy. Majority of the changes during pregnancy are harmless to the mother and fetus, whereas some may cause pathological manifestations. The hormonal changes during pregnancy can cause alteration in the homeostasis of the inner ear fluids and hamper the inner ear functions. The changes of estrogen and progesterone levels during pregnancy can affect the audio-vestibular system. These changes in the inner ear may manifest with symptoms like vertigo, tinnitus, fullness in the ear, and hyperacusis. These symptoms in the pregnancy directly affects the quality of life both physically and emotionally. There are no standard guidelines for the management of audiovestibular manifestations. However, there are very little data available for audiovestibular manifestations during the pregnancy period. The objective of this review article is to discuss the prevalence, etiopathology, and clinical presentations, diagnosis and treatment of audiovestibular manifestations during pregnancy.

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Vestibular migraine: Our experiences at a tertiary care teaching hospital of Eastern India

Cited by 8 publications

References 0 publications

Vestibular migraine and its management in Indian clinical setting: a narrative review

Vestibular migraine and its management in Indian clinical setting: a narrative review

Vertigo during pregnancy: a review

Audiovestibular manifestations during pregnancy: a review

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