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Characteristic differences between vestibular migraine and migraine only patients.
J Neurol. 2022 Jan; 269(1):336-341.JN

Abstract

BACKGROUND

Vestibular migraine (VM) is one of the most common causes of vertigo in clinical practice but it is not always easy to make the correct diagnosis. Our aims were to find out how VM patients differ from migraine only (MO) patients, to evaluate co-morbid depression in these two groups and to determine if their disease has an effect on their quality of life.

METHODS

We studied 50 definite VM and 35 MO patients. Each patient was asked about: age of onset, duration of headaches, presence of aura, headache characteristics, triggering factors, associated features, motion sickness history and family history of migraine. VM patients were also asked about their vertigo attacks and accompanying symptoms. Each patient also completed the following questionnaires: (1) Migraine Disability Assessment Scale (MIDAS); (2) headache severity with VAS (Visual Analog Scale); (3) Allodynia Symptom Checklist (ASC-12); (4) Beck Depression Inventory (BDI); (5) World Health Organization Quality of Life Questionnaire Short Form-12 (WHOQL-SF12); (6) Activities Specific Balance Confidence Scale (ABC). VM patients also completed the Dizziness Handicap Inventory (DHI).

RESULTS

We found that VM patients were more likely than MO patients to be female, post-menopausal, depressed, motion sick, complaining of imbalance and of food-triggered headaches. In contrast, MO patients were more likely than VM patients to have severe headaches and that these can be triggered by certain odors and by noise.

CONCLUSION

Our findings showed differences between VM and MO patients and attention to these differences could help clinicians diagnose, characterize and manage their VM patients.

Authors+Show Affiliations

Department of Neuroscience, Institute of Health Sciences, Dokuz Eylül University, İzmir, Turkey.Department of Neuroscience, Institute of Health Sciences, Dokuz Eylül University, İzmir, Turkey.Department of Neurology, Faculty of Medicine, Dokuz Eylül University, İnciraltı/Balçova, İzmir, Turkey.Department of Biostatistics and Medical Informatics, Faculty of Medicine, Dokuz Eylül University, İzmir, Turkey.Department of Neuroscience, Institute of Health Sciences, Dokuz Eylül University, İzmir, Turkey. gulden.akdal@deu.edu.tr. Department of Neurology, Faculty of Medicine, Dokuz Eylül University, İnciraltı/Balçova, İzmir, Turkey. gulden.akdal@deu.edu.tr.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

34109480

Citation

Özçelik, Pınar, et al. "Characteristic Differences Between Vestibular Migraine and Migraine Only Patients." Journal of Neurology, vol. 269, no. 1, 2022, pp. 336-341.
Özçelik P, Koçoğlu K, Öztürk V, et al. Characteristic differences between vestibular migraine and migraine only patients. J Neurol. 2022;269(1):336-341.
Özçelik, P., Koçoğlu, K., Öztürk, V., Keskinoğlu, P., & Akdal, G. (2022). Characteristic differences between vestibular migraine and migraine only patients. Journal of Neurology, 269(1), 336-341. https://doi.org/10.1007/s00415-021-10636-0
Özçelik P, et al. Characteristic Differences Between Vestibular Migraine and Migraine Only Patients. J Neurol. 2022;269(1):336-341. PubMed PMID: 34109480.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Characteristic differences between vestibular migraine and migraine only patients. AU - Özçelik,Pınar, AU - Koçoğlu,Koray, AU - Öztürk,Vesile, AU - Keskinoğlu,Pembe, AU - Akdal,Gülden, Y1 - 2021/06/09/ PY - 2020/12/21/received PY - 2021/05/31/accepted PY - 2021/05/28/revised PY - 2021/6/11/pubmed PY - 2022/1/11/medline PY - 2021/6/10/entrez KW - Dizziness KW - Headache KW - Migraine KW - Vertigo KW - Vestibular migraine SP - 336 EP - 341 JF - Journal of neurology JO - J Neurol VL - 269 IS - 1 N2 - BACKGROUND: Vestibular migraine (VM) is one of the most common causes of vertigo in clinical practice but it is not always easy to make the correct diagnosis. Our aims were to find out how VM patients differ from migraine only (MO) patients, to evaluate co-morbid depression in these two groups and to determine if their disease has an effect on their quality of life. METHODS: We studied 50 definite VM and 35 MO patients. Each patient was asked about: age of onset, duration of headaches, presence of aura, headache characteristics, triggering factors, associated features, motion sickness history and family history of migraine. VM patients were also asked about their vertigo attacks and accompanying symptoms. Each patient also completed the following questionnaires: (1) Migraine Disability Assessment Scale (MIDAS); (2) headache severity with VAS (Visual Analog Scale); (3) Allodynia Symptom Checklist (ASC-12); (4) Beck Depression Inventory (BDI); (5) World Health Organization Quality of Life Questionnaire Short Form-12 (WHOQL-SF12); (6) Activities Specific Balance Confidence Scale (ABC). VM patients also completed the Dizziness Handicap Inventory (DHI). RESULTS: We found that VM patients were more likely than MO patients to be female, post-menopausal, depressed, motion sick, complaining of imbalance and of food-triggered headaches. In contrast, MO patients were more likely than VM patients to have severe headaches and that these can be triggered by certain odors and by noise. CONCLUSION: Our findings showed differences between VM and MO patients and attention to these differences could help clinicians diagnose, characterize and manage their VM patients. SN - 1432-1459 UR - https://www.unboundmedicine.com/medline/citation/34109480/Characteristic_differences_between_vestibular_migraine_and_migraine_only_patients_ L2 - https://dx.doi.org/10.1007/s00415-021-10636-0 DB - PRIME DP - Unbound Medicine ER -