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Updated: Mar 10, 2026
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Neuro-rehabilitation Approach for Sudden Sensorineural Hearing Loss
Published on: January 25, 2016
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Migraine Features in Patients With Sudden Sensorineural Hearing Loss
Yalda Yazdani1, Ella J Lee1, Amanda Francis1
1Department of Otolaryngology-Head and Neck Surgery, University of California, Irvine, USA.
Summary
Migraine features are common in sudden sensorineural hearing loss (SSNHL) patients, with nearly half meeting diagnostic criteria. Symptoms like aural fullness and same-sided headaches predict migraine in SSNHL.
Area of Science:
- Neurology
- Otolaryngology
- Epidemiology
Background:
- Sudden sensorineural hearing loss (SSNHL) is an otologic emergency.
- Migraine is a common neurological disorder with complex pathophysiology.
- The relationship between SSNHL and migraine is not well understood.
Purpose of the Study:
- To determine the prevalence of migraine features in patients diagnosed with SSNHL.
- To identify clinical factors associated with migraine in the SSNHL population.
Main Methods:
- A retrospective survey-based study was conducted at a single tertiary care center.
- 168 adult patients with SSNHL were assessed using International Classification of Headache Disorders, 3rd edition (ICHD-3) criteria for migraine diagnosis.
- Univariate and multivariate logistic regression analyses were performed to identify associations.
Main Results:
- 46% of SSNHL patients met full ICHD-3 migraine criteria; an additional 23% met most criteria.
- Aural fullness preceding hearing loss, concordant laterality of SSNHL and headache, hyperacusis, otalgia, and motion sickness were significantly associated with migraine.
- 89% of patients with both migraine and SSNHL experienced SSNHL on the same side as their headaches.
Conclusions:
- Migraine is highly prevalent in patients with SSNHL.
- Clinical indicators such as aural fullness and ipsilateral headache strongly suggest migraine in SSNHL patients.
- Shared vascular and neurogenic mechanisms may underlie the co-occurrence of migraine and SSNHL, warranting further investigation and targeted management strategies.
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