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Rocking dizziness and headache: a two-way street
1Laureate Institute for Brain Research, OK, USA.
Cephalalgia : an International Journal of Headache
|May 16, 2013
Summary
Chronic rocking dizziness, whether motion-triggered or not, is frequently associated with migraine headaches. Migraine may predispose individuals to developing or worsening chronic rocking dizziness.
Area of Science:
- Neurology
- Vestibular Disorders
Background:
- Chronic rocking dizziness, also known as Mal de Debarquement Syndrome, is often triggered by passive motion.
- This condition can present without a motion trigger and is sometimes observed in vestibular migraine.
- Headaches frequently co-occur with chronic rocking dizziness.
Purpose of the Study:
- To investigate the association between motion-triggered (MT) and non-motion-triggered (non-MT) chronic rocking dizziness and headache history.
- To clarify the relationship between migraine and chronic rocking dizziness.
Main Methods:
- A questionnaire and interview study was conducted.
- Subjects with either MT or non-MT chronic rocking dizziness participated.
Main Results:
- Headache onset was earlier in the non-MT group (16 years) compared to the MT group (26 years).
- Migraine headache criteria were met by most participants in both groups.
- The prevalence of migraine headache was similar in both groups (41% MT; 46% non-MT) by the time chronic dizziness occurred.
- Pre-existing headaches generally worsened following the onset of dizziness.
Conclusions:
- While chronic rocking dizziness doesn't meet current vestibular migraine criteria, migraine pathophysiology may be linked.
- Migraine may predispose individuals to developing chronic rocking dizziness or exacerbate existing symptoms.
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