Migraine and episodic Vertigo: a cohort survey study of their relationship

The Journal of Headache and Pain

Alan Rapoport¹  Moris Levin²  Christian Lampl³  Elisabeth Bräutigam³ 

[1] Department of Neurology, David Geffen School of Medicine at UCLA;Department of Neurology, University of California San Francisco;Headache Medical Centre, Linz, Ordensklinikum Linz Barmherzige Schwestern;

关键词: Migraine;    Vertigo;    Episodic vertigo;    Vestibular migraine;   

DOI  :  10.1186/s10194-019-0991-2

来源: DOAJ

【 摘 要 】

Abstract Background and aim Migraine headache and vestibular-type vertigo co-occur in the general population about three times more often than expected by chance. Attacks of episodic vertigo (eV) are currently not recognized as migraine equivalents or variants in the International Classification of Headache Disorders, 3rd edition (ICHD III). No strong data exist about the prevalence of eV during the phases of a migraine attack. The aim of this study is to analyze the timing association between migraine-related episodic vertigo and the phases of migraine. Methods The “Migraine and Neck Pain Study” gathered data from nearly 500 adult participants in a questionnaire-based survey. In this prospective, follow-up study we re-analyzed patients with episodic migraine with and without aura who experienced eV anytime around their migraine attacks. For this we defined 3 different time periods. Results 146/487 (30%) reported eV anytime during the migraine attack; 79/487 (16%) that noticed eV with the start of the headache, 51/487 (10%) within 2 h before the headache and 16/487 (3%) experienced eV 2–48 h before the headache, as a premonitory symptom. 130/487 (26.7%) of our patients can be diagnosed with vestibular or probable vestibular migraine supporting the clinical association of migraine and vertigo. Conclusions Our results seem to further support the concept that vertigo in migraine is best thought of as an integral manifestation of migraine, rather than a prodromal or aura symptom.

【 授权许可】

Unknown