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Migraine-related vestibulopathy
S P Cass1, J M Furman, K Ankerstjerne
1Department of Otolaryngology, University of Pittsburgh School of Medicine, Pennsylvania 15213, USA.
The Annals of Otology, Rhinology, and Laryngology
|March 1, 1997
Summary
Migraine-related vestibulopathy presents with chronic dysequilibrium and unsteadiness. Vestibular testing often reveals abnormalities, and treatment targets the underlying migraine condition.
Area of Science:
- Neurology
- Otolaryngology
- Vestibular Science
Background:
- Migraine is linked to vestibular disorders like benign paroxysmal vertigo.
- Migraine may contribute to chronic nonspecific vestibulopathy.
- Limited data exist on clinical and vestibular findings in migraine-related vestibulopathy.
Purpose of the Study:
- To describe clinical findings and vestibular function abnormalities.
- To evaluate treatment responses in patients with migraine-related vestibulopathy.
Main Methods:
- Retrospective review of 100 patients diagnosed with migraine-related vestibulopathy.
- Analysis of patient history, physical examination, and vestibular tests (electronystagmography, rotational chair, posturography).
Main Results:
- Common symptoms include chronic movement-associated dysequilibrium, unsteadiness, and space/motion discomfort.
- Vestibular tests showed directional preponderance, reduced caloric responsiveness, and abnormal posturography patterns.
- Episodic vertigo, sometimes as an aura, occurred with or without headache.
Conclusions:
- Migraine-related vestibulopathy is characterized by specific clinical and vestibular findings.
- Treatment involves managing the underlying migraine through trigger avoidance and prophylactic medication.
- Symptomatic relief can be achieved with anti-motion sickness drugs, vestibular rehabilitation, and anxiety/panic disorder treatment.