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Migraine Patients with or without Vertigo: Comparison of Clinical and Electronystagmographic Findings

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dc.contributor.author Bir, Levent Sinan.
dc.contributor.author Ardıç, Fazıl Necdet.
dc.contributor.author Kara, C.O.
dc.contributor.author Akalin, O.
dc.contributor.author Pinar, H.S.
dc.contributor.author Çeliker, A.
dc.date.accessioned 2019-08-16T11:43:24Z
dc.date.available 2019-08-16T11:43:24Z
dc.date.issued 2003
dc.identifier.issn 03816605 (ISSN)
dc.identifier.uri http://acikerisim.pau.edu.tr:8080/xmlui/handle/11499/5234
dc.description.abstract Objective: To find the differences between patients with migraine with and without vertigo. Study Deslgn: A prospective study. Setting: Ambulatory dizziness centre of a tertiary referral hospital. Methods: Eighty-four patients with migraine (31 with headache, 53 with headache and vertigo) according to the diagnostic criteria of migraine published by the International Headache Society in 1988 were included in the study. Patient history, vestibular tests, electronystagmography (ENG), and imaging studies were performed for differential diagnosis. Main Outcome Measures: Clinical findings and ENG parameters. Results: Fifty-three of 84 patients (63%) had episodic vertigo attacks. Vertigo was independent from headache in 24 patients (45%). Vertigo symptoms always appeared later in the history of migraine headache. Headache started at age 27 ± 8.3 years and vertigo symptoms began 7.7 ± 8. 7 years later. The beginning age of the migraine and female-to-male ratio were significantly greater in the vertigo group. Fifty-eight of the 84 patients had ENG testing. Fifty-eight percent of the patients with migraine and 55% of the patients with migraine + vertigo had abnormal ENG findings. None of the tests except the Dix-Hallpike manoeuvre had a statistically significant difference between the two groups. Conclusion: The presence of the same ENG abnormalities in patients with pure headache shows that the vestibular pathways are also affected in these patients, even when there are no vestibular symptoms.
dc.language.iso English
dc.rights info:eu-repo/semantics/closedAccess
dc.subject Electronystagmography
dc.subject Migraine
dc.subject Vertigo
dc.subject adult
dc.subject article
dc.subject comparative study
dc.subject controlled study
dc.subject diagnostic test
dc.subject differential diagnosis
dc.subject electronystagmography
dc.subject female
dc.subject headache
dc.subject human
dc.subject major clinical study
dc.subject male
dc.subject methodology
dc.subject migraine
dc.subject pathophysiology
dc.subject priority journal
dc.subject prospective study
dc.subject sex ratio
dc.subject symptomatology
dc.subject vertigo
dc.subject vestibular system
dc.subject vestibular test
dc.subject Adult
dc.subject Diagnosis, Differential
dc.subject Female
dc.subject Humans
dc.subject Male
dc.subject Middle Aged
dc.subject Migraine Disorders
dc.subject Prospective Studies
dc.title Migraine Patients with or without Vertigo: Comparison of Clinical and Electronystagmographic Findings
dc.type Article
dc.relation.journal Journal of Otolaryngology
dc.contributor.authorID 0000-0003-4230-3141
dc.identifier.volume 32
dc.identifier.issue 4
dc.identifier.startpage 234
dc.identifier.endpage 238
dc.relation.publicationCategory Uluslararası Hakemli Dergi
dc.identifier.index Scopus
dc.identifier.index WOS
dc.identifier.index PubMed

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