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The prevalence of migraine in Menière's disease
1Department of Otolaryngology-Head and Neck Surgery, University of Iowa, Iowa City.
Abstract:
This study attempted to determine the prevalence of migraine in unilateral classic Menière's disease and vestibular Menière's disease. Diagnostic criteria for these three entities were identified and charts of patients with episodic vertigo were reviewed. A questionnaire was designed to assess the prevalence of migraine using criteria established previously by other authors. Questionnaires were mailed to patients with classic Menière's disease, patients with vestibular Menière's disease, and a normal control group. The response rates from the questionnaires in the three groups were 75%, 70%, and 36%. The percentages of the respondents who met the predetermined criteria for migraine in the three groups were 22%, 81%, and 33%. The significant difference in migraine prevalence between classic and vestibular Menière's disease suggests the possibility of different etiologies for the two entities.
Insights
Migraine is more prevalent in vestibular Menière's disease (81%) than in classic Menière's disease (22%). This suggests distinct causes for these two conditions, impacting vertigo and migraine sufferers.
Area of Science:
- Neurology
- Otolaryngology
- Epidemiology
Background:
- Menière's disease is a disorder of the inner ear.
- It can manifest in classic or vestibular forms, both causing episodic vertigo.
- The co-occurrence of migraine with Menière's disease requires further investigation.
Purpose of the Study:
- To determine the prevalence of migraine in patients with unilateral classic Menière's disease.
- To assess migraine prevalence in patients with vestibular Menière's disease.
- To compare migraine prevalence between these Menière's disease subtypes and a control group.
Main Methods:
- Diagnostic criteria for classic Menière's disease, vestibular Menière's disease, and migraine were established.
- Patient charts with episodic vertigo were reviewed.
- A questionnaire assessing migraine prevalence was mailed to patients in three groups: classic Menière's disease, vestibular Menière's disease, and a control group.
Main Results:
- Response rates were 75% for classic Menière's disease, 70% for vestibular Menière's disease, and 36% for the control group.
- Migraine prevalence was 22% in classic Menière's disease, 81% in vestibular Menière's disease, and 33% in controls.
- A statistically significant difference in migraine prevalence was observed between classic and vestibular Menière's disease.
Conclusions:
- Vestibular Menière's disease exhibits a significantly higher prevalence of migraine compared to classic Menière's disease.
- This disparity suggests potentially different underlying etiologies for the two forms of Menière's disease.
- Further research into the relationship between migraine and Menière's disease subtypes is warranted.