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Vestibular abnormality in patients with Meniere's disease and migrainous vertigo

Jung Eun Shin1, Chang-Hee Kim, Hong Ju Park

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Hospital, Konkuk University School of Medicine, Seoul, Korea.

Acta Oto-Laryngologica
|November 14, 2012
PubMed
Abstract

Insights

Vestibular abnormality is common in Meniere's disease (MD) and migrainous vertigo (MV), even between attacks. Objective vestibular tests reveal significant abnormalities in both conditions, suggesting underlying vestibular dysfunction.

Area of Science:

  • Neurology
  • Otolaryngology
  • Vestibular System Disorders

Background:

  • Meniere's disease (MD) and migrainous vertigo (MV) are primary causes of recurrent vertigo.
  • Objective measurement of vestibular function is crucial for differentiating these conditions.

Purpose of the Study:

  • To determine and compare the rates of vestibular abnormality in patients with MD and MV.
  • To assess the utility of objective vestibular tests in diagnosing these vertigo disorders.

Main Methods:

  • Analyzed results from caloric, head-shaking nystagmus (HSN), and vibration-induced nystagmus (VIN) tests.
  • Included 45 patients diagnosed with MD and 76 patients diagnosed with MV.

Main Results:

  • 84% of MD patients and 66% of MV patients showed abnormalities in at least one vestibular test.
  • Head-shaking nystagmus (HSN) testing revealed the highest abnormality rates in both groups.
  • Vestibular abnormalities were present even during interictal periods for both MD and MV.

Conclusions:

  • Significant vestibular abnormalities are prevalent in both Meniere's disease and migrainous vertigo.
  • Objective vestibular testing, particularly HSN, is valuable for identifying vestibular dysfunction in vertigo patients.
  • Comorbid vestibular abnormalities may contribute to vertigo symptoms and warrant further investigation.

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