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Headache during a cluster of benign paroxysmal positional vertigo attacks
1Department of Neurology, Assaf Harofeh Medical Center, affiliated with the Sackler Faculty of Medicine, Tel Aviv University, Tel Aviv, Israel lea.pollak@gmail.com.
The Annals of Otology, Rhinology, and Laryngology
|July 13, 2014
Summary
Headache is common in benign paroxysmal positional vertigo (BPPV) patients, with tension-type headache being most frequent. This head pain appears to be an independent symptom that can increase patient distress.
Area of Science:
- Neurology
- Otolaryngology
Background:
- Benign paroxysmal positional vertigo (BPPV) is a common cause of dizziness.
- Patients often report recurrent symptoms and associated complaints.
- Headache is a frequently reported but understudied symptom in BPPV.
Purpose of the Study:
- To investigate the frequency and characteristics of headaches in patients experiencing a BPPV cluster.
- To determine the types of headaches associated with BPPV.
Main Methods:
- Patients with BPPV were interviewed at an outpatient dizziness clinic.
- Data collected included headache presence, quality, location, severity, and associated factors.
- Headache diagnoses were classified using The International Classification of Headache Disorders.
Main Results:
- 53% of 152 BPPV patients reported headache during their vertigo cluster.
- The most common headache types were tension-type headache (69%), migraine (15%), and cervicogenic headache (11%).
- Headache characteristics and BPPV history did not differ between patients with and without headache.
Conclusions:
- Headache is a frequent comorbidity in BPPV.
- Tension-type headache is the predominant type associated with BPPV.
- Head pain is likely an independent epiphenomenon of BPPV, potentially exacerbating patient distress.
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