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Phonophobia in migraine

J V Vingen1, J A Pareja, O Støren

  • 1Department of Neurology, University Hospital of Trondheim, Norway.

Cephalalgia : an International Journal of Headache
|July 23, 1998
PubMed
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Migraine patients exhibit heightened sensitivity to sound, experiencing discomfort and pain at lower thresholds compared to healthy individuals. This hypersensitivity, known as phonophobia, is a key characteristic of migraine, potentially sharing mechanisms with photophobia.

Area of Science:

  • Neuroscience
  • Audiology
  • Pain Medicine

Background:

  • Phonophobia, or sound hypersensitivity, is a common but not fully understood symptom in migraine.
  • Previous research suggests a link between sensory sensitivities and migraine pathophysiology.

Purpose of the Study:

  • To quantitatively measure sound discomfort and pain thresholds in migraineurs compared to controls.
  • To investigate factors influencing sound sensitivity in migraine, such as pain characteristics and aura presence.

Main Methods:

  • Quantitative sensory testing was used to assess sound-induced discomfort and pain thresholds.
  • Participants included migraineurs (n=65) and headache-free controls (n=80).
  • Data were analyzed to compare thresholds between groups and identify correlations with clinical features.

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Main Results:

  • Migraineurs demonstrated significantly lower sound discomfort and pain thresholds than controls, both during and outside of attacks (p < 0.0001).
  • Patients experiencing head pain had lower thresholds than when pain-free (p < 0.01).
  • Unilateral or pulsating pain was associated with greater sound sensitivity (p < 0.05).

Conclusions:

  • Migraineurs exhibit objective hypersensitivity to sound, supporting phonophobia as a distinct physiological feature.
  • Phonophobia in migraine may share underlying pathophysiological mechanisms with photophobia.
  • Sound sensitivity in migraine is not significantly correlated with attack duration, frequency, or severity.