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Abnormal Subjective and Audiometric Auditory Function in Migraine.

Allan R Wang1, Kristen K Steenerson1, Jennifer C Alyono1

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

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|March 20, 2023
PubMed
Summary
This summary is machine-generated.

Migraine is linked to hearing deficits, including tinnitus and subjective hearing loss, indicating auditory processing abnormalities. Unlike chronic pain patients, migraine sufferers show distinct audiological profiles suggesting unique underlying causes.

Keywords:
hearing lossmigrainetinnitus

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Area of Science:

  • Audiology
  • Neurology
  • Pain Medicine

Background:

  • Migraine is a common neurological disorder.
  • Auditory deficits are frequently reported by migraineurs.
  • The relationship between migraine and auditory function requires further investigation.

Purpose of the Study:

  • To determine if migraine is associated with auditory deficits.
  • To compare the auditory profile of migraine with that of chronic pain.

Main Methods:

  • Cross-sectional analysis of 5273 participants from the National Health and Nutrition Examination Survey (1999-2004).
  • Regression analyses assessed associations between migraine/chronic pain and hearing loss, tinnitus, pure-tone average (PTA), and hearing mismatch.
  • Adjusted for confounding factors.

Main Results:

  • Migraine was significantly associated with increased tinnitus (aOR=1.77) and subjective hearing loss (aOR=1.58).
  • Migraineurs exhibited worse pure-tone average (PTA) (β=.89) and a higher prevalence of subjective-audiometric hearing mismatch (aOR=1.50).
  • Chronic pain showed no significant association with these auditory parameters.

Conclusions:

  • Migraine is associated with peripheral and central auditory dysfunction, evidenced by worse audiometry and increased hearing mismatch.
  • These auditory abnormalities in migraine differ from those observed in chronic pain patients.
  • The etiology of auditory processing abnormalities in migraine may be distinct from other pain syndromes.