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Dizziness and vertigo in patients with tension-type headache: A case-control study
Sanjay Prakash1, Kalu Singh Rawat2, Harsh Patel3
1Department of Neurology, Smt. B. K. Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth, Piparia, Waghodia, 391760, Vadodara Gujarat, India. drprakashs@yahoo.co.in.
Summary
Vestibular symptoms like dizziness and vertigo are more prevalent in patients with tension-type headache (TTH) compared to controls. The frequency of these symptoms correlates with the severity of TTH.
Area of Science:
- Neurology
- Otolaryngology
- Clinical Medicine
Background:
- Dizziness and vertigo have been anecdotally reported in tension-type headache (TTH) patients.
- Systematic investigation into the prevalence and characteristics of vestibular symptoms in TTH is lacking.
- This study aimed to determine the prevalence of vestibular symptoms in TTH patients versus a control group.
Purpose of the Study:
- To investigate the prevalence of vestibular symptoms in individuals with tension-type headache.
- To compare the occurrence of vestibular symptoms in TTH patients against a healthy control group.
- To explore potential correlations between vestibular symptoms and headache chronicity, anxiety, depression, and phonophobia in TTH.
Main Methods:
- A case-control study was conducted.
- 100 patients diagnosed with TTH were recruited as cases.
- 100 individuals without a significant headache history served as controls.
Main Results:
- Vestibular symptoms were reported by 25% of TTH patients, significantly higher than the 10% in the control group (OR=3.0, P=.006).
- Prevalence was markedly higher in chronic TTH (CTTH) (67%) compared to episodic TTH (9%) (P<.005).
- TTH patients with vestibular symptoms exhibited significantly higher anxiety (HAD-A) and depression (HAD-D) scores, and increased frequency of phonophobia.
Conclusions:
- Vestibular symptoms appear to be more common in patients with TTH than in the general population.
- The prevalence of vestibular symptoms in TTH is associated with the frequency and chronicity of the headache.
- Findings suggest a potential link between TTH, vestibular dysfunction, and psychological comorbidities.
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