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Updated: Aug 27, 2025

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

Published on: June 2, 2014

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Examining Migraine as a Predictor of Benign Paroxysmal Positional Vertigo Onset, Severity, Recurrence, and Associated

Eric K Kim1, Lauren Pasquesi1, Jeffrey D Sharon1

  • 1Otolaryngology Head and Neck Surgery, University of California San Francisco, San Francisco, USA.

Cureus
|September 28, 2022
PubMed
Abstract

Insights

Migraine patients develop benign paroxysmal positional vertigo (BPPV) earlier in life. Migraine history also increases fall risk in horizontal canal BPPV, suggesting migraine impacts BPPV presentation.

Area of Science:

  • Neurology
  • Otolaryngology
  • Vestibular Disorders

Background:

  • The comorbidity of migraine and benign paroxysmal positional vertigo (BPPV) is recognized.
  • The influence of migraine on the specific characteristics (phenotype) of BPPV requires further investigation.

Purpose of the Study:

  • To investigate how a history of migraine affects the clinical presentation of BPPV.
  • To analyze differences in BPPV onset, severity, recurrence, and falls between migraineurs and non-migraineurs.

Main Methods:

  • Retrospective analysis of 255 patients diagnosed with BPPV between 2015 and 2020.
  • Comparison of age of onset, Dizziness Handicap Index (DHI) scores, recurrence rates, and fall incidence.
  • Subgroup analysis for horizontal canal BPPV patients.

Main Results:

  • 44.7% of BPPV patients had a history of migraine.
  • Migraineurs experienced BPPV onset at a significantly younger age (60.2 years) compared to non-migraineurs (65.4 years).
  • No significant differences were found in DHI scores or recurrence rates. However, migraineurs with horizontal canal BPPV had a higher rate of falls (50.0% vs. 6.3%).

Conclusions:

  • Migraine is associated with an earlier onset of BPPV, potentially due to migraine-induced inner ear changes.
  • Migraine history may influence the BPPV phenotype, particularly increasing fall risk in horizontal canal BPPV cases.
  • These findings highlight the importance of considering migraine history in the management and understanding of BPPV.
Keywords:
benign paroxysmal positional vertigomigrainemigraine disorderpositional vertigovestibular disease

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