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Migraine and benign positional vertigo.

A Ishiyama1, K M Jacobson, R W Baloh

  • 1Division of Head and Neck Surgery, UCLA School of Medicine, Los Angeles, California, USA.

The Annals of Otology, Rhinology, and Laryngology
|April 25, 2000
PubMed
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Migraine patients are three times more likely to experience benign positional vertigo (BPV) than those without migraine. Inner ear damage may predispose migraine sufferers to recurrent BPV episodes.

Area of Science:

  • Neurotology
  • Neurology
  • Otolaryngology

Background:

  • Inner ear symptoms are frequently observed in migraine patients.
  • Benign positional vertigo (BPV) is a common vestibular disorder.

Purpose of the Study:

  • To investigate the prevalence of benign positional vertigo (BPV) in migraine patients compared to the general population.
  • To explore the relationship between migraine and the etiology of BPV.

Main Methods:

  • Retrospective review of 247 patients diagnosed with BPV in a neurotology clinic over five years.
  • Standardized interviews using International Headache Society criteria to assess migraine symptoms.
  • Categorization of BPV cases based on etiology (idiopathic vs. secondary to trauma/surgery).

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Main Results:

  • Migraine was diagnosed in three times more patients with idiopathic BPV compared to those with trauma- or surgery-related BPV.
  • The particle repositioning maneuver was effective in resolving BPV symptoms in most patients, irrespective of migraine status or BPV cause.

Conclusions:

  • Migraine may be associated with an increased risk of developing benign positional vertigo (BPV).
  • Recurrent inner ear damage, potentially linked to migraine mechanisms like vasospasm, might predispose individuals to BPV.
  • Effective treatment for BPV exists, regardless of underlying migraine association.