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Vestibular abnormality in patients with Meniere's disease and migrainous vertigo.
Acta Otolaryngol. 2013 Feb; 133(2):154-8.AO

Abstract

CONCLUSION

Vestibular abnormality was found in 84% of patients with Meniere's disease (MD) and 66% of those with migrainous vertigo (MV), even in the interictal period. Although MV does not have proven pathology like endolymphatic hydrops of MD, MV had high vestibular abnormality, suggesting that comorbid vestibular abnormality can be a cause of vertigo and needs to be pursued.

OBJECTIVES

MD and MV are common disorders causing recurrent vertigo. We determined the vestibular abnormality rates using vestibular tests with objective measurements.

METHODS

Results of caloric, head-shaking nystagmus (HSN), and vibration-induced nystagmus (VIN) tests were analyzed in 45 patients with MD and 76 with MV.

RESULTS

The abnormal rates in MD were significantly higher than those in MV. Of 45 MD patients, 21 (47%), 32 (71%), and 24 (53%) exhibited abnormal caloric, HSN, and VIN results, respectively. Fourteen (31%) MD patients had migraine associated with vertigo, but the association was not accompanied by high rates of abnormal results in the tests. Of 76 MV patients, 19 (25%), 38 (50%), and 24 (32%) exhibited abnormal caloric, HSN, and VIN results, respectively. Overall, 84% of patients with MD and 66% with MV exhibited abnormal results on at least one test. Abnormal rates were highest in HSN, followed by VIN and the caloric test.

Authors+Show Affiliations

Department of Otorhinolaryngology-Head and Neck Surgery, Konkuk University Hospital, Konkuk University School of Medicine, Seoul, Korea.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

23145969

Citation

Shin, Jung Eun, et al. "Vestibular Abnormality in Patients With Meniere's Disease and Migrainous Vertigo." Acta Oto-laryngologica, vol. 133, no. 2, 2013, pp. 154-8.
Shin JE, Kim CH, Park HJ. Vestibular abnormality in patients with Meniere's disease and migrainous vertigo. Acta Otolaryngol. 2013;133(2):154-8.
Shin, J. E., Kim, C. H., & Park, H. J. (2013). Vestibular abnormality in patients with Meniere's disease and migrainous vertigo. Acta Oto-laryngologica, 133(2), 154-8. https://doi.org/10.3109/00016489.2012.727469
Shin JE, Kim CH, Park HJ. Vestibular Abnormality in Patients With Meniere's Disease and Migrainous Vertigo. Acta Otolaryngol. 2013;133(2):154-8. PubMed PMID: 23145969.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Vestibular abnormality in patients with Meniere's disease and migrainous vertigo. AU - Shin,Jung Eun, AU - Kim,Chang-Hee, AU - Park,Hong Ju, Y1 - 2012/11/13/ PY - 2012/11/14/entrez PY - 2012/11/14/pubmed PY - 2013/7/3/medline SP - 154 EP - 8 JF - Acta oto-laryngologica JO - Acta Otolaryngol VL - 133 IS - 2 N2 - CONCLUSION: Vestibular abnormality was found in 84% of patients with Meniere's disease (MD) and 66% of those with migrainous vertigo (MV), even in the interictal period. Although MV does not have proven pathology like endolymphatic hydrops of MD, MV had high vestibular abnormality, suggesting that comorbid vestibular abnormality can be a cause of vertigo and needs to be pursued. OBJECTIVES: MD and MV are common disorders causing recurrent vertigo. We determined the vestibular abnormality rates using vestibular tests with objective measurements. METHODS: Results of caloric, head-shaking nystagmus (HSN), and vibration-induced nystagmus (VIN) tests were analyzed in 45 patients with MD and 76 with MV. RESULTS: The abnormal rates in MD were significantly higher than those in MV. Of 45 MD patients, 21 (47%), 32 (71%), and 24 (53%) exhibited abnormal caloric, HSN, and VIN results, respectively. Fourteen (31%) MD patients had migraine associated with vertigo, but the association was not accompanied by high rates of abnormal results in the tests. Of 76 MV patients, 19 (25%), 38 (50%), and 24 (32%) exhibited abnormal caloric, HSN, and VIN results, respectively. Overall, 84% of patients with MD and 66% with MV exhibited abnormal results on at least one test. Abnormal rates were highest in HSN, followed by VIN and the caloric test. SN - 1651-2251 UR - https://www.unboundmedicine.com/medline/citation/23145969/Vestibular_abnormality_in_patients_with_Meniere's_disease_and_migrainous_vertigo_ L2 - https://www.tandfonline.com/doi/full/10.3109/00016489.2012.727469 DB - PRIME DP - Unbound Medicine ER -