Korean J Otorhinolaryngol-Head Neck Surg.
2007 Dec;50(12):1092-1097.
The Clinical Manifestations of Migrainous Vertigo
- Affiliations
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- 1Department of Otorhinolaryngology, School of Medicine, Catholic University of Daegu, Daegu, Korea. youngholee@cu.ac.kr
Abstract
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BACKGROUND AND OBJECTIVES: Migraine can cause vestibular symptoms and the possible link between Meniere's disease and migraine is suggested. The purpose of this study is to assess the various clinical manifestations of the migrainous vertigo and otologic symptoms associated of migraine in a dizziness clinic.
SUBJECTS AND METHOD
The authors evaluated, retrospectively, 40 patients diagnosed as migrainous vertigo in the dizziness clinic during the last 6 months. We had patients record their history by filling out questionaires and complete neurotologic examinations, and had them perform audiologic tests. Electro-nystagmography was also tested.
RESULTS
The age was distributed between 11 to 62 and the mean age was 37 years old. Patients who were co-diagnosed with migraine and Meniere's disease was 7 (18%), whereas 22 and 21 patients had tinnitus (55%) and earfullness (52%). Twelve patients (30%) with tinnitus and earfullness had migraine headache and vertigo attacks at the same time. The vertigo duration was various and did not have constant patterns. The seven young and middle aged patients had idiopathic unilateral low frequency sensorineural hearing loss or unilateral moderate sensorineural hearing loss; 11 patients (27%) had canal weakness (>25%) at side unrelated with hearing loss, tinnitus, earfullness. Eighteen (45%) patients had or has had motion sickness and 8 patients had vertigo related with optokinetic stimulations.
CONCLUSION
The migrainous vertigo has various clinical manifestations and vertigo durations. The characteristics of vertigo is not temporally associated with headaches. We think that the most important diagnostic point of migrainous vertigo is migrainer or not.
