A retrospective analysis was performed on consecutive series of 363 patients presenting with vertigo; 32% had migraine. Of the 224 patients with no pathology other than migraine or vestibular dysfunction, migraineurs had a significantly higher prevalence of normal, central, and combined central and peripheral vestibular dysfunction compared to non-migraineurs. The combination of central and peripheral vestibular signs was a feature of migraine with aura. The results support the hypothesis that migraine-associated vertigo is a diagnostic entity.
AragonesJMFortes-RegoJFusteJCardozoA.Migraineran alternative in the diagnosis of unclassified vertigo.
Headache1993;
33:
125–8
11.
DurstelerMR.Migrane und Vestibularapparat.
J Neurol1975;
210:
253–69
12.
KuritzkyATogliaUJThomasD.Vestibular function in migraine.
Headache1981;
21:
110–2
13.
TogliaJUThomasDKuritzkyA.Common migraine and vestibular function: electronystagmographic study and pathogenesis.
Ann Otol Rhinol Laryngol1981;
90:
267–71
14.
EviatarL.Vestibular testing in basilar artery migraine.
Ann Neurol1981;
9:
126–30
15.
IngelstedtSIvarssonATjernstromOVertigo due to relative overpressure in the middle ear.
Acta Otolaryngol (Stockh)1974;
78:
1–14
TheunissenEJJMHuygenPLMFolgeringHT.Vestibular hyperreactivity and hyperventilation.
Clin Otolaryngol1986;
11:
161–9
18.
Headache Classification Committee of the International Headache Society.Classification and diagnostic criteria for headache disorders, cranial neuralgias and facial pain.
Cephalalgia1988;
Suppl 7:
1–96
19.
SavundraPALuxonLM.The physiology of equilibrium and its application to the dizzy patient.
In:
GleesonM,
Scott-Brown's Otolaryngology. Vol. 1. Basic Sciences.
London:
Butterworths.
In press
20.
DixMRHallpikeCS.The pathology, symptomatology and diagnosis of certain common disorders of the vestibular system.
Ann Otol Rhinol Laryngol1952;
61:
987–1016
21.
DaviesRASavundraPA.Diagnostic testing of the vestibular system.
In:
StephensD,
Scott-Brown's Otolaryngol Vol. 2. Adult audiology.
London:
Butterworths.
In pres
22.
FitzgeraldGHallpikeCS.Studies in human vestibular function. I Observations on the directional preponderance of caloric nystagmus resulting from cerebral lesions.
Brain1942;
65:
115–37
23.
DaviesRALuxonLM.Dizziness following head injury: a neuro-otological study.
J Neurol1995;
242:
222–32
MorettiGManzoniGCCaffarraPParmaM.“Henign recurrent vertigo” and its connection with migraine.
Headache1980;
20:
344–6
30.
BehanPOCarlinJ.Benign recurrent vertigo.
In:
RoseFC,
Advances in migraine research and therapy.
New York:
Raven,
1982:
49–55
31.
EaggerSLuxonLMDaviesRACoelhoARonMA.Psychiatric morbidity in patients with peripheral vestibular disorders: a clinical and neuro-otological study.
J Neurol Neurosurg Psychiatry1992;
55:
383–7
32.
McCormickAFlemingDCharltonJ.Morbidity statistics from general practice.
Fourth National Study 1991-1992. Series MB5 No. 3.
London:
HMSO,
1995:
262
StewartPrevalence of migraine headache in the United States. Relation to age, income, race and other sociodemographic factors.
JAMA1992;
267:
64–9
40.
EadieMJ.Some aspects of episodic giddiness.
Med J Aust1968;
2:
453–7
41.
BaranyR.Diagnose von Krankheitser-scheinungen im Bereiche des Otolithenapparates.
Acta Otolaryngol (Stockh)1921;
2:
434–7
42.
CurrieSHeathfieldKWGHensonRAScottDF.Clinical course and prognosis of temporal lobe epilepsy.
Brain1971;
94:
173–90
43.
HughesJRDrachmanDA.Dizziness, epilepsy and the EEG.
Dis Nerv Sys1977;
38:
431–5
44.
TroostBTMartinezJAbelLAHerosRC.Upbeat nystagmus and internuclear ophthalmoplegia with brainstem glioma.
Arch Neurol1980;
37:
453–6
45.
WestheimerGBlairSM.Functional organisation of the oculomotor system revealed by cerebellectomy.
Exp Brain Res1974;
21:
463–72
46.
LudmanH.Surgical treatment of vertigo.
In:
DixMRHoodJD,
Vertigo.
Chichester:
John Wiley,
1984:
113–32
47.
GolzAWestermanSTGilbertLMJoacbimsHZNetzerA.Effect of middle ear effusion on the vestibular labyrinth.
J Laryngol Otol1991;
105:
987–9
48.
SheehanSBauerRBMeyerJS.Vertebral artery compression in cervical spondylosis.
Neurology1960;
10:
968–86
49.
RosengartAHedgesTRTealPADeWittLDWuJKWolpertSCaplanLR.Intermittent downbeat nystagmus due to vertebral artery compression.
Neurology1993;
43:
216–8
50.
BarreJA.Sur un syndrome sympathique cervical posterieur et sa cause frequente: l'arthrite cervicale.
Rev de Neurol1926;
45:
1246–53
51.
BottiniGSterziRPaulesuEVallarGCappaSFErminoFIdentification of the central vestibular projections in man: a positron emission tomography activation study.
Exp Brain Res1994;
99:
164–9
