Prevalence of Vestibular Symptoms in Patients with Migraine in Isfahan, Iran

Document Type : Original Article (s)

Authors

1 Associate Professor, Department of Neurology, Isfahan University of Medical Sciences, Isfahan, Iran

2 Student of Medicine, School of Medicine AND Student Research Committee, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Background: Migraine is a common headache disorder, and patients with migraine commonly report vestibular symptoms. Although the relation between vestibular migraine and vestibular symptoms were investigated in many studies, the prevalence of vestibular symptoms in migraine patients without vestibular migraine type are less taken into consideration. Therefore, in this study we aimed to determine the prevalence of vestibular symptoms in patients with migraine in Isfahan, Iran.Methods: In a descriptive-analytic study, 400 patients with migraine were selected by convenience sampling. To determine the prevalence of vestibular symptoms in patients with migraine, a questionnaire consisting of 25 questions with 9 criteria was used.Findings: No significant differences were observed between patients with migraine with aura and patients with migraine without aura regarding to the symptoms including: sensation of spinning (P = 0.03), ataxia (P = 0.01) and a feeling of pressure in the head (P < 0.01). The most prevalent vestibular symptoms were nausea (78%), lightheadedness (74.5%), and phonophobia (72.3%), respectively.Conclusion: Vestibular symptoms had a high prevalence among patients with migraine suggesting that maybe there is an association between these symptoms and pathophysiology of migraine. There was significant difference between the two groups of patients with migraine with aura and migraine without aura in terms of prevalence of vestibular symptoms that can be used diagnostically to differentiate between two these groups of patients.

Keywords

References

  1. Stovner L, Hagen K, Jensen R, Katsarava Z, Lipton R, Scher A, et al. The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia 2007; 27(3): 193-210.
  2. Lipton RB, Bigal ME, Diamond M, Freitag F, Reed ML, Stewart WF. Migraine prevalence, disease burden, and the need for preventive therapy. Neurology 2007; 68(5): 343-9.
  3. Lipton RB, Bigal ME, Kolodner K, Stewart WF, Liberman JN, Steiner TJ. The family impact of migraine: population-based studies in the USA and UK. Cephalalgia 2003; 23(6): 429-40.
  4. Weatherall MW. The diagnosis and treatment of chronic migraine. Ther Adv Chronic Dis 2015; 6(3): 115-23.
  5. Giffin NJ, Ruggiero L, Lipton RB, Silberstein SD, Tvedskov JF, Olesen J, et al. Premonitory symptoms in migraine: an electronic diary study. Neurology 2003; 60(6): 935-40.
  6. Maniyar FH, Sprenger T, Monteith T, Schankin C, Goadsby PJ. Brain activations in the premonitory phase of nitroglycerin-triggered migraine attacks. Brain 2014; 137(Pt 1): 232-41.
  7. Crevits L, Bosman T. Migraine-related vertigo: towards a distinctive entity. Clin Neurol Neurosurg 2005; 107(2): 82-7.
  8. Bisdorff A, Andree C, Vaillant M, Sandor PS. Headache-associated dizziness in a headache population: prevalence and impact. Cephalalgia 2010; 30(7): 815-20.
  9. Whitney SL, Wrisley DM, Brown KE, Furman JM. Physical therapy for migraine-related vestibulopathy and vestibular dysfunction with history of migraine. Laryngoscope 2000; 110(9): 1528-34.
  10. Salhofer S, Lieba-Samal D, Freydl E, Bartl S, Wiest G, Wober C. Migraine and vertigo--a prospective diary study. Cephalalgia 2010; 30(7): 821-8.
  11. Akdal G, Ozge A, Ergor G. Vestibular symptoms are more frequent in migraine than in tension type headache patients. J Neurol Sci 2015; 357(1-2): 295-6.
  12. Akdal G, Baykan B, Ertas M, Zarifoglu M, Karli N, Saip S, et al. Population-based study of vestibular symptoms in migraineurs. Acta Otolaryngol 2015; 135(5): 435-9.
  13. Drummond PD. Motion sickness and migraine: optokinetic stimulation increases scalp tenderness, pain sensitivity in the fingers and photophobia. Cephalalgia 2002; 22(2): 117-24.
  14. Cohen JM, Bigal ME, Newman LC. Migraine and vestibular symptoms--identifying clinical features that predict "vestibular migraine". Headache 2011; 51(9): 1393-7.
  15. Cutrer FM, Baloh RW. Migraine-associated dizziness. Headache 1992; 32(6): 300-4.
  16. Gruber M, Cohen-Kerem R, Kaminer M, Shupak A. Vertigo in children and adolescents: characteristics and outcome. Scientific World Journal 2012; 2012: 109624.
  17. Taylor J, Goodkin HP. Dizziness and vertigo in the adolescent. Otolaryngol Clin North Am 2011; 44(2): 309-viii.
Journal of Isfahan Medical School
Volume 34, Issue 377 - Serial Number 377
March and April 2016
Pages 315-320

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History

  • Receive Date: 18 October 2015
  • Revise Date: 04 November 2024
  • Accept Date: 06 April 2022

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