Hostname: page-component-54dcc4c588-smtgx Total loading time: 0 Render date: 2025-10-08T15:52:46.816Z Has data issue: false hasContentIssue false
  • English
  • Français

Comparison of caloric reactivity between migraineurs and non-migraineurs

Published online by Cambridge University Press:  28 August 2015

C A Foster  and
C K Pollard
C A Foster*
Affiliation:
Department of Otolaryngology, University of Colorado School of Medicine, Aurora, Colorado, USA
C K Pollard
Affiliation:
Department of Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA
*
Address for correspondence: Dr C A Foster, Department of Otolaryngology, University of Colorado School of Medicine, 12631 E. 17th Ave, B-205, Aurora, CO 80045, USA Fax: +1 303 724 1961 E-mail: carol.foster@ucdenver.edu
Get access Rights & Permissions [Opens in a new window]

Abstract

Objective:

To demonstrate that the elevated prevalence of migraine in patients with vertigo disorders is due to enhanced sensitivity to dizziness, which could cause migraineurs to seek more, or earlier, medical care for vertigo disorders, confounding the ability to show causation.

Methods:

This case–control study investigated whether migraineurs perceive dizziness more intensely than non-migraineurs by comparing caloric responses in migraineurs, non-migraineurs and possible migraineurs. The summed caloric responses in the best responding ear were reviewed.

Results:

The migraine group had higher caloric response values, with a mean of 37.97 degrees per second, which was statistically significant when compared to the values for the possible migraine group (30.74 degrees per second (p < 0.05)) and the non-migraine group (30.70 degrees per second (p < 0.001)).

Conclusion:

The findings suggest that migraineurs experience vestibular stimuli more intensely compared to non-migraineurs, which might explain the association of migraine with vestibular disorders in general.

Keywords

MigraineVertigoCaloric Tests

Information

Type
Main Articles
Information
The Journal of Laryngology & Otology , Volume 129 , Issue 10 , October 2015 , pp. 960 - 963
Copyright
Copyright © JLO (1984) Limited 2015 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

1Lipton, RB, Scher, AI, Kolodner, K, Liberman, J, Steiner, TJ, Stewart, WF. Migraine in the United States: epidemiology and patterns of health care use. Neurology 2002;58:885–94CrossRefGoogle ScholarPubMed
2Minor, LB. Meniere's disease and migraine. Arch Otolaryngol Head Neck Surg 2005;131:460CrossRefGoogle ScholarPubMed
3Uneri, A. Migraine and benign paroxysmal positional vertigo: an outcome study of 476 patients. Ear Nose Throat J 2004;83:814–15CrossRefGoogle ScholarPubMed
4Ishiyama, A, Jacobson, KM, Baloh, RW. Migraine and benign positional vertigo. Ann Otol Rhinol Laryngol 2000;109:377–80CrossRefGoogle ScholarPubMed
5Main, A, Dowson, A, Gross, M. Photophobia and phonophobia in migraineurs between attacks. Headache 1997;37:492–5CrossRefGoogle ScholarPubMed
6Vitkovic, J, Paine, M, Rance, G. Neuro-otological findings in patients with migraine and nonmigraine-related dizziness. Audiol Neurootol 2008;13:113–22CrossRefGoogle ScholarPubMed
7Neuhauser, H, Leopold, M, Von Brevern, M, Arnold, G, Lempert, T. The interrelations of migraine, vertigo and migrainous vertigo. Neurology 2001;56:436–41CrossRefGoogle ScholarPubMed
8Arriaga, MA, Chen, DA, Hillman, TA, Kunschner, L, Arriaga, RY. Visually enhanced vestibulo-ocular reflex: a diagnostic tool for migraine vestibulopathy. Laryngoscope 2006;116:1577–9CrossRefGoogle ScholarPubMed
9Lipton, RB, Bigal, ME, Diamond, M, Freitag, F, Reed, ML, Steward, WF. Migraine prevalence, disease burden, and the need for preventative therapy. Neurology 2007;68:343–9CrossRefGoogle Scholar
10Jongkees, LB. Value of the caloric test of the labyrinth. Arch Otolaryngol 1948;48:402–17CrossRefGoogle Scholar
11Baloh, RW, Furman, JM. Modern vestibular function testing. West J Med 1989;150:59–67Google ScholarPubMed
12Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders: 2nd edition. Cephalalgia 2004;24(suppl 1):9–160Google Scholar
13Vibert, D, Liard, P, Hasler, R. Bilateral idiopathic loss of peripheral vestibular function with normal hearing. Acta Otolaryngol 1995;115:611–15CrossRefGoogle ScholarPubMed
14Grenman, R. Involvement of the audiovestibular system in multiple sclerosis. An otoneurologic and audiologic study. Acta Otolaryngol Suppl 1985;420:1–95Google ScholarPubMed
15Teggi, R, Caldirola, D, Colombo, B, Perna, G, Comi, G, Bellodi, L et al. Dizziness, migrainous vertigo and psychiatric disorders. J Laryngol Otol 2010;124:285–90CrossRefGoogle ScholarPubMed
16Cutrer, FM, Charles, A. The neurogenic basis of migraine. Headache 2008;48:1411–14CrossRefGoogle ScholarPubMed
17Schürks, M, Diener, HC. Pathophysiology of migraine and clinical implications [in German]. Schmerz 2008;22:523–30CrossRefGoogle ScholarPubMed
18Langsrud, Ø. ANOVA for unbalanced data: use type II instead of type III sums of squares. Stat Comput 2003;13:163–7CrossRefGoogle Scholar
19Henricksson, NG. Speed of slow component and duration in caloric nystagmus. Acta Otolaryngol 1956;46:3–29CrossRefGoogle Scholar
20Coppola, G, Pierelli, F, Schoenen, J. Is the cerebral cortex hyperexcitable or hyperresponsive in migraine? Cephalalgia 2007;27:1427–39CrossRefGoogle ScholarPubMed
21de Tommaso, M, Ambrosini, A, Brighina, F, Coppola, G, Perrotta, A, Pierelli, F et al. Altered processing of sensory stimuli in patients with migraine. Nat Rev Neurol 2014;10:144–55CrossRefGoogle ScholarPubMed
22Nafie, Y, Friedman, M, Hamid, M. Auditory and vestibular findings in patients with vestibular migraine. Audiol Med 2011;9:98–102CrossRefGoogle Scholar
23Büttner, U, Helmchen, CH, Brandt, TH. Diagnostic criteria for central versus peripheral positioning nystagmus and vertigo: a review. Acta Otolaryngol 1999;119:1–5Google ScholarPubMed