Migraine is associated with an increased risk for benign paroxysmal positional vertigo: a nationwide population-based study (original) (raw)
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IP innovative publication pvt. ltd, 2019
Objectives : Repeated migraine attacks may cause vestibular dysfunction and dislodge of otoconia from utricle to semicircular canals resulting in benign paroxysmal positional vertigo (BPPV). The aim of the present study was to evaluate risk factors and linkage of migraine in patients of BPPV. Materials and Methods: This observational case-control study was conducted at Zydus medical college and hospital, Dahod, India from October 2018 to September 2019. Consecutive 18 to 70 years old patients of confirmed BPPV were assigned as the cases. Demographically matched healthy volunteers were assigned as the controls. The cases, as well as the control, were further evaluated for a past or present history and a family history of migraines. Results : 295 consecutive BPPV cases (250 posterior canals, 45 horizontal canals) and 300 control subjects were studied. In the case group, 55 (18.64%) were having past or present migraine (45 migraines without aura, 8 migraines with aura and 2 vestibular migraines), while in the control group 24 (8.0%) were having migraine (20 migraines without aura, 4 migraines with aura). Among BPPV patients, those associated with migraines were younger and more often females, with many having a history of diabetes mellitus and coronary artery disease and family/past history of migraines. Migraine was 2.3 times higher in cases as compared to the control with significant or Odds Ratio of 2.63 and 2.68 in unadjusted and adjusted analysis respectively. Conclusion : Migraine was more than two times more common in BPPV patients as compared to the age and sex-matched controls.
The positive correlation between migraine and vertigo: a review
The Egyptian Journal of Otolaryngology, 2016
Many studies have focused on understanding the correlation between migraine and vertigo. It has resulted in the emergence of several theoretical perspectives on these two conditions, attempting to explain the connection between them. This paper explores a wide range of research publications on migraine and vertigo in order to present a comprehensive perspective on the correlation. Distinctive analysis of each theory facilitates a clear understanding of each in connection with migraine and vertigo; these theoretical perspectives include (a) sensory exaggerations, (b) low blood pressure, (c) ear disorders, and (d) vascular complications (i.e. stroke, neurotransmitter changes, and cerebellar disturbances). There is an established link between Meniere's disease, migraine, and vertigo. Through an analysis of results from various studies, the paper explores the relationship between Meniere's disease and migraine. A better understanding of migraine and vertigo is also vital in identifying the conditions, diagnosis, and selection of appropriate treatment options.
Association of Benign Recurrent Vertigo and Migraine in 208 Patients
Cephalalgia, 2009
The aim of this study was to determine the association of benign recurrent vertigo (BRV) and migraine, using standardized questionnaire-based interview of 208 patients with BRV recruited through a University Neurotology clinic. Of 208 patients with BRV, 180 (87%) met the International Classification of Headache Disorders 2004 criteria for migraine: 112 migraine with aura (62%) and 68 without aura (38%). Twenty-eight (13%) did not meet criteria for migraine. Among patients with migraine, 70% experienced headache, one or more auras, photophobia, or auditory symptoms with some or all of their vertigo attacks, meeting the criteria for definite migrainous vertigo. Thirty per cent never experienced migraine symptoms concurrent with vertigo attacks. These met criteria for probable migrainous vertigo. Among patients without migraine, 21% experienced either photophobia or auditory symptoms with some or all of their vertigo attacks; 79% experienced only isolated vertigo. The age of onset and ...
Migraine-Associated Vertigo: A Review of the Pathophysiology and Differential Diagnosis
International Journal of Neuroscience, 2011
The clinical diagnosis of migraine-associated vertigo may be difficult because it shares features with some other clinical conditions. This communication presents a systematic review on the epidemiology and theories of pathophysiology of migraine-associated vertigo and its distinguishing features from peripheral vestibular disorders. We searched the Cochrane Library, MEDLINE, and Google scholar for all the studies on migraine-associated vertigo published in English language between 1966 and 2010. Their references were also reviewed for completion. Data from the studies were independently extracted and assessed by the three authors using standardized data forms. There was consensus between the authors on the studies in this review that met the criteria. Forty-five studies were identified and independently assessed based on the objectives of the study by the authors. All the studies discussed on the epidemiology of the migraine-associated vertigo, six discussed on the pathophysiology, while differential diagnosis were documented in thirty-two studies. In conclusion, migraine-associated vertigo is a global distinct disease entity that can be clinically distinguished from peripheral vestibular disorders. Abstinence from trigger factors remains imperative in the control, whereas some medications have been found useful in the management.
The prevalence of vertigo, non-vertiginous dizziness and migrainous vertigo in migraine patients
Zenodo (CERN European Organization for Nuclear Research), 2022
Aim: Aim of this study was to investigate the prevalence of vertigo and non-vertiginous dizziness in migraine patients compared to the control group and to define lifetime prevalence of migrainous vertigo. Materials and Methods: A total of 206 patients diagnosed with migraine according to the International Headache Society (2004) and 218 healthy individuals were included in this study. Results: Vertiginous symptoms were found in migraine patients by 65.5% and in the control group by 30.3% (p=0.000). Rate of the patients who met 2001 vertiginous migraine criteria was found as 30% and 2012 criteria was found 26%. Vertiginous symptoms revealed independently from headache in majority of the patients and were found to be more common in the patients having migraine with aura. Conclusions: Our results seems to support the results of previous studies which indicated that lifetime prevalence of migrainous vertigo was high in migraine patients. Amaç: Bu çalışmanın amacı, migren hastalarında kontrol grubuna göre vertigo ve vertigo olmayan baş dönmesi prevalansını araştırmak ve migrenli vertigonun yaşam boyu prevalansını belirlemektir. Gereç-Yöntem: Uluslararası Baş Ağrısı Derneği'ne (2004) göre migren tanısı almış toplam 206 hasta ve 218 sağlıklı birey bu çalışmaya dahil edilmiştir. Bulgular: Vertiginöz semptomlar migren hastalarında %65,5, kontrol grubunda %30.3 olarak bulunmuştur (p=0.000). 2001 baş dönmesi migren kriterlerini karşılayan hasta oranı %30, 2012 kriterleri ise %26 olarak bulundu. Hastaların büyük çoğunluğunda baş ağrısından bağımsız olarak ortaya çıkan vertiginöz semptomlar auralı migren hastalarında daha sık bulunmuştur. Sonuç: Sonuçlarımız migren hastalarında yaşam boyu migrenöz vertigo prevalansının yüksek olduğunu gösteren önceki çalışmaların sonuçlarını destekler görünmektedir. ARTICLE INFO/MAKALE BİLGİSİ
Migraine and vertigo: two diseases with the same pathogenesis?
Neurological Sciences, 2010
Vertigo and migraine are known to be frequently associated. However, only recently, the etiological links between the two diseases are being investigated and explained. More and more interest is being attracted by migrainous vertigo, an isolated entity that might deserve inclusion in the International Classification of Headache Disorders. The authors briefly review the main links between migraine and vertigo.
Association Between Benign Positional Vertigo and Migraine in Indian Population
Indian Journal of Otolaryngology and Head & Neck Surgery, 2020
Benign positional vertigo (BPV) occurs when freely floating otoconia which are normally attached to the utricular macula, enter the posterior semicircular canal and move under the influence of gravity. It is the most common cause of peripheral vertigo. Migraine is a common headache disorder which is characterized by hemicranial, throbbing pain and may be preceded by aura. The relation between vertigo and migraine is intriguing and in day to day practice, often not clear. 100 diagnosed patients of BPV, aged more than 20 years, were evaluated for presence of headache specifically migraine based on International Headache Classification 3rd Edition, beta version. We also compared the success of epley's manoeuvre in patients having BPV & headache as compared to patients with complaints of vertigo alone. Overall seventy-four patients had successful epley's manoeuver and the rest did not show improvement even after four trials. Thirty-four patients reported headache and migraine was diagnosed in only ten patients. 67.6% of patients with headache had successful epley's maneuver however fifty-one of the 66 patients without headache had successful epley's manoeuver. Prevalence of migraine was only 10% in patients with BPV in our population and we observed that presence of headache does not suggest success or failure of epley's manoeuvre.
Migraine-Associated Vertigo: Diagnosis and Treatment
Seminars in Neurology, 2010
Migraine-associated vertigo has become a well-recognized disease entity diagnosed based on a clinical history of recurrent vertigo attacks unexplained by other central or peripheral otologic abnormalities, which occurs in the patient with a history of migraine headaches. There is no international agreement on what spectrum of symptoms should be covered under this diagnosis, or what terminology should be used. The headaches and vestibular symptoms of migraine-associated vertigo may not be temporally associated, which often obscures the association. Diagnostic tests usually show nonspecific abnormalities that are also seen in patients with migraine who do not experience vestibular symptoms. Management generally follows the recommended treatment of migraine headaches, and includes dietary and lifestyle modifications and medical treatment with β blockers, calcium channel blockers, and tricyclic amines. Small case series show that acetazolamide and lamotrigine appear to be more effective for the vertigo attacks than headaches. Vestibular rehabilitation has also been shown to be helpful in several studies. In this review, the epidemiologic and clinical features of the disorder, as well as the current state of knowledge on pathophysiology, diagnostic testing, and treatment are described.