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Related Concept Videos

Equilibrium and Balance01:15

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The inner ear assumes dual functionalities of auditory perception and equilibrium maintenance. The vestibule is the organ responsible for balance. This organ contains mechanoreceptors, specifically hair cells, endowed with stereocilia, which aid in deciphering information regarding the position and motion of our heads. Two intrinsic components, the utricle and saccule, help perceive head position, while the semicircular canals track head movement. Neurological messages initiated in the...
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The Vestibular System01:29

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The vestibular system is a set of inner ear structures that provide a sense of balance and spatial orientation. This system is comprised of structures within the labyrinth of the inner ear, including the cochlea and two otolith organs—the utricle and saccule. The labyrinth also contains three semicircular canals—superior, posterior, and horizontal—that are oriented on different planes.
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Visual Motion Sensitivity in Vestibular Migraine.

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Behavioral Assessment of the Aging Mouse Vestibular System
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Vestibular Migraine: Cognitive Dysfunction, Mobility, Falls.

Thi A Preysner1, Adam Z Gardi1, Sarah Ahmad2

  • 1Department of Otolaryngology-Head and Neck Surgery, University of California-San Francisco School of Medicine.

Otology & Neurotology : Official Publication of the American Otological Society, American Neurotology Society [And] European Academy of Otology and Neurotology
|September 22, 2022
PubMed
Summary
This summary is machine-generated.

Vestibular migraine is linked to significant cognitive difficulties, increasing the risk of falls, mobility problems, and work absenteeism. This study highlights the real-world impact of these combined challenges.

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Area of Science:

  • Neurology
  • Public Health
  • Epidemiology

Background:

  • Vestibular migraine (VM) is increasingly recognized for its association with cognitive impairments.
  • However, data on the real-world consequences of cognitive dysfunction in VM patients are limited.

Purpose of the Study:

  • To investigate the epidemiology of cognitive dysfunction in individuals with vestibular migraine.
  • To assess the associated sequelae, including mobility issues, falls, and work absenteeism, using national survey data.

Main Methods:

  • A population-based survey study utilizing data from the 2016 National Health Interview Survey (NHIS) of US adults.
  • A case definition for probable vestibular migraine was developed based on Bárány Society criteria and validated.
  • Incidence of self-reported cognitive dysfunction and associated outcomes were evaluated.

Main Results:

  • 40% of individuals with vestibular migraine reported some difficulty thinking, and 12% reported significant difficulty, compared to 13% and 2% without VM.
  • Vestibular migraine sufferers showed a 7.43-fold increased likelihood of cognitive difficulties (thinking or remembering).
  • Individuals with both VM and cognitive dysfunction had significantly higher odds of falls (5x), mobility issues (10x), and missed workdays (12.8 more days).

Conclusions:

  • Vestibular migraine is strongly associated with cognitive dysfunction.
  • The combination of vestibular migraine and cognitive dysfunction significantly increases the risk of mobility issues, falls, and work absenteeism.
  • These findings underscore the substantial real-world burden of vestibular migraine and its cognitive sequelae.