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Updated: Aug 8, 2025

3D-Neuronavigation In Vivo Through a Patient's Brain During a Spontaneous Migraine Headache
Published on: June 2, 2014
Treatment of Stapedial Myoclonus as a Migraine-Related Phenomenon
Jack L Birkenbeuel1, Karen Tawk1, Elaine C Martin1
1Departments of Otolaryngology-Head and Neck Surgery.
Objective:
To describe a case series of patients with stapedial myoclonus (SM) whose conditions improved after prophylactic migraine treatment.
Patients:
We present seven cases of SM reported from a tertiary care neurotology clinic. All seven patients reported SM triggers similar to those of migraine headaches and suffered from concomitant headaches and/or vertigo, and were thus treated with a standard migraine protocol used at this neurotology clinic.
Intervention:
Prophylactic migraine treatment.
Main Outcome Measures:
Reduction or resolution of SM.
Results:
In this series, seven patients with SM were included. Six of seven subjects were male (86%), with a mean age at presentation of 44 years. Four patients noted significant improvement in their symptoms, with a reduced frequency, duration, and intensity of their symptoms with the migraine regimen. Three patients experienced complete resolution of SM with their migraine treatment.
Conclusion:
We report that treatment with prophylactic migraine treatment can provide long-term relief for patients with SM, which may suggest an etiological association between migraine and SM as well as a possible treatment for SM.
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