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Updated: Apr 7, 2026

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
10:39

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache

Published on: June 2, 2014

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Migraine is associated with an increased risk for benign paroxysmal positional vertigo: a nationwide population-based

Chia-Huei Chu1, Chia-Jen Liu, Liang-Yu Lin

  • 1Department of Otorhinolaryngology-Head and Neck Surgery, Taipei Veterans General Hospital, Taipei, Taiwan, chchu2@gmail.com.

The Journal of Headache and Pain
|July 5, 2015
PubMed
Abstract

Insights

Migraine patients have a 2.03-fold increased risk of developing benign paroxysmal positional vertigo (BPPV). This risk is higher for those over 40, with coronary artery disease, or frequent neurologist visits for migraine.

Area of Science:

  • Neurology
  • Otolaryngology
  • Epidemiology

Background:

  • Migraine is increasingly linked to vestibular disorders, including vertigo.
  • Benign paroxysmal positional vertigo (BPPV) is the most common cause of vertigo.
  • The association between migraine and BPPV requires further investigation.

Purpose of the Study:

  • To investigate the risk of developing BPPV in individuals with a history of migraine.
  • To identify specific risk factors for BPPV among migraine patients.

Main Methods:

  • A population-based dataset from Taiwan's National Health Insurance Research Database was utilized.
  • 8,266 migraine patients were compared with 8,266 age- and sex-matched controls.
  • Cox proportional hazard models were employed to analyze BPPV incidence and risk factors.

Main Results:

  • Migraine patients exhibited a 2.03-fold increased incidence of BPPV compared to controls (1.11% vs. 0.5%).
  • Significant risk factors for BPPV in migraineurs included age ≥40 years, coronary artery disease, and frequent neurologist visits for migraine.
  • Incidence rate ratio for BPPV in migraine patients was 2.03 (95% CI 1.41-2.97; p <0.001).

Conclusions:

  • Migraine is associated with a significantly elevated risk of developing BPPV.
  • Physicians should consider BPPV in migraine patients presenting with vestibular symptoms, especially those with identified risk factors.
  • Early identification and management of BPPV in migraine patients can improve outcomes.

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