scholarly journals Migraine and Vertigo

2011 ◽  
Vol 2011 ◽  
pp. 1-7 ◽  
Author(s):  
Mehmet Karatas
Keyword(s):  
International Headache Society ◽  
Age Groups ◽  
Epidemiologic Studies ◽  
Migrainous Vertigo ◽  
Acute Attacks ◽  
Cacna1a Gene ◽  
International Headache Society Classification ◽  
Cerebellar Symptoms ◽  
Paroxysmal Positional Vertigo

Migraine and vertigo are common disorders in medicine, affecting about 14–16% and 7–10%, respectively, of the general population. Recent epidemiologic studies indicate that 3.2% of the population have both migraine and vertigo. Vertigo may occur in up to 25% of patients with migraine. Migraine is the most frequent vascular disorder causing vertigo in all age groups. Migraine leads to various central or peripheral vestibular syndromes with vertigo such as migrainous vertigo, basilar-type migraine, benign paroxysmal vertigo of childhood, and other vertigo syndromes related to migraine. Migrainous vertigo is the most common cause of spontaneous recurrent vertigo. Diagnostic criteria for migrainous vertigo have been proposed but are not included in the most recent International Headache Society classification of migraine. On the other hand, there are statistical associations between migraine and vertigo syndromes including benign paroxysmal positional vertigo, Meniere's disease, persistent cerebellar symptoms, anxiety-related dizziness, and motion sickness. Vertigo can also act as a migraine trigger. Although some mutations in the CACNA1A gene have been identified in some familial cases, the mechanism of migraine-associated vertigo is still obscure. Treatment includes vestibular suppressants for acute attacks and migraine prophylaxis for patients with frequent attacks.

Vertigo and Dizziness Related to Migraine: A Diagnostic Challenge

Cephalalgia ◽  
2004 ◽  
Vol 24 (2) ◽  
pp. 83-91 ◽  
Author(s):  
H Neuhauser ◽  
T Lempert
Keyword(s):  
Benign Paroxysmal Positional Vertigo ◽  
International Headache Society ◽  
Familial Hemiplegic Migraine ◽  
Diagnostic Challenge ◽  
Hemiplegic Migraine ◽  
Positional Vertigo ◽  
International Headache Society Classification ◽  
Cerebellar Symptoms ◽  
Paroxysmal Positional Vertigo

Vertigo and dizziness can be related to migraine in various ways: causally, statistically or, quite frequently, just by chance. Migrainous vertigo (MV) is a vestibular syndrome caused by migraine and presents with attacks of spontaneous or positional vertigo lasting seconds to days and migrainous symptoms during the attack. MV is the most common cause of spontaneous recurrent vertigo and is presently not included in the International Headache Society classification of migraine. Benign paroxysmal positional vertigo (BPPV) and Ménière's disease (MD) are statistically related to migraine, but the possible pathogenetic links have not been established. Moreover, migraineurs suffer from motion sickness more often than controls. Persistent cerebellar symptoms may develop in the course of familial hemiplegic migraine. Dizziness may also be due to orthostatic hypotension, anxiety disorders or major depression which all have an increased prevalence in patients with migraine.

The International Headache Society Classification of Chronic Daily and Near-Daily Headaches

Cephalalgia ◽  
1996 ◽  
Vol 16 (6) ◽  
pp. 407-411 ◽  
Author(s):  
J Olesen ◽  
BK Rasmussen
Keyword(s):  
Chronic Daily Headache ◽  
International Headache Society ◽  
Sudden Onset ◽  
Hemicrania Continua ◽  
Transformed Migraine ◽  
Ihs Classification ◽  
Daily Headache ◽  
Future Revision ◽  
International Headache Society Classification

The classification of the International Headache Society (IHS) published in 1988 has been positively received throughout the world. However, the classification of headaches occurring daily or almost daily has been criticized repeatedly. This criticism is discussed in the present review. It is possible to classify virtually all chronic headache patients using the IHS Classification and there seems to be more need for emphasizing a correct application of the classification than for a revision in this regard. The entity of transformed migraine is disputed and so is the existence of hemicrania continua. Neither of these syndromes has been adequately defined nor studied. Chronic daily headache of sudden onset (new persistent daily headache) is not adequately classified at present and should be included as a separate entity in the next edition of the IHS Classification. In a future revision it should also be possible to classify drug-related headache simply on the basis of drug consumption and without mandatory demands for withdrawal. Better longitudinal studies of patients with chronic daily headache are necessary to evaluate finally whether a revision of the classification of these headache syndromes is necessary. Eventually the ongoing discovery of migraine genes is likely to change radically the classification of migraine.ÿ

Migraine and benign paroxysmal positional vertigo: a single-institution review

2017 ◽  
Vol 131 (6) ◽  
pp. 508-513 ◽  
Author(s):  
M Teixido ◽  
A Baker ◽  
H Isildak
Keyword(s):  
Sample Size ◽  
Benign Paroxysmal Positional Vertigo ◽  
Small Sample Size ◽  
International Headache Society ◽  
Small Sample ◽  
Single Institution ◽  
Entire Sample ◽  
Migrainous Vertigo ◽  
Positional Vertigo ◽  
Paroxysmal Positional Vertigo

AbstractBackground:Benign paroxysmal positional vertigo and migraine-associated dizziness are common. The prevalence of benign paroxysmal positional vertigo seems to be higher in patients with migraine-associated dizziness than in those without migraine.Methods:A database of 508 patients seen at the primary author's balance clinic was analysed to determine the prevalence of migraine, as defined by International Headache Society criteria, in patients with benign paroxysmal positional vertigo.Results:The percentage of patients with dizziness or vertigo who met criteria for migraine was 33.7 per cent, with a prevalence of benign paroxysmal positional vertigo of 42.3 per cent. When excluding patients with migrainous vertigo, patients with migraine frequently had benign paroxysmal positional vertigo (66.7 per centvs55.8 per cent), although this finding was not statistically significant.Conclusion:The results for the entire sample suggest that, after excluding patients with migrainous vertigo, patients with migraine seem more likely to have benign paroxysmal positional vertigo; however, this association was not significant, probably because of the small sample size.

Chronic Migraine and Medication Overuse Headache: Clarifying the Current International Headache Society Classification Criteria

Cephalalgia ◽  
2009 ◽  
Vol 29 (4) ◽  
pp. 445-452 ◽  
Author(s):  
C Sun-Edelstein ◽  
ME Bigal ◽  
AM Rapoport
Keyword(s):  
Chronic Migraine ◽  
Medication Overuse ◽  
International Headache Society ◽  
Medication Overuse Headache ◽  
Classification Criteria ◽  
Daily Headache ◽  
Considerable Controversy ◽  
Chronic Daily Headaches ◽  
International Headache Society Classification

Despite the recent advances in the understanding and classification of the chronic daily headaches, considerable controversy still exists regarding the classification of individual headaches, including chronic migraine (CM) and medication overuse headache (MOH). The original criteria, published in 2004, were difficult to apply to most patients with these disorders and were subsequently revised, resulting in broader clinical applicability. Nonetheless, they remain a topic of debate, and the revisions to the criteria have further added to the confusion. Even some prominent headache specialists are unsure which criteria to use. We aimed to explain the nature of the controversies surrounding the entities of CM and MOH. A clinical case will be used to illustrate some of the problems faced by clinicians in diagnosing patients with chronic daily headache.

The Difference Between Epileptic Auras and Migrainous Auras in the 19th Century

Cephalalgia ◽  
2007 ◽  
Vol 27 (12) ◽  
pp. 1378-1385
Author(s):  
E Lardreau
Keyword(s):  
19Th Century ◽  
International Headache Society ◽  
Similar Process ◽  
French And English ◽  
English Medical Literature ◽  
The Difference ◽  
International Headache Society Classification ◽  
Tactile Sensations ◽  
The 19Th Century

In the International Headache Society classification of headaches, the concept of aura is given a key role. It serves as a boundary between ‘migraine without aura’ and ‘migraine with aura’. Historically, the concept of an aura was borrowed from the epilepsy vocabulary; a borrowing that took place in English medicine at the beginning of the 19th century and in French medicine in the mid-19th century. It would therefore be interesting to see which features of the epileptic aura are used to explain the migraine aura. Based on the French and English medical literature of the 19th century, two processes have been reviewed: (i) the emergence of the concept of aura, and (ii) the modifications of this concept throughout the 19th century. It appears that the original medical use of the term ‘aura’ as a set of rising tactile sensations was in use from the 2nd century until late in the 19th century, but then various other symptoms were recognized and the aura gradually became accepted as an early part of the seizure. By the end of the 19th century the aura that preceded a migraine was seen as a similar process, and thought of as part of the migraine sequence.

Paroxysmal Hemicrania in Children—Symptoms, Diagnostic Criteria, Therapy and Outcome

Cephalalgia ◽  
2009 ◽  
Vol 29 (8) ◽  
pp. 873-882 ◽  
Author(s):  
M Blankenburg ◽  
T Hechler ◽  
G Dubbel ◽  
C Wamsler ◽  
B Zernikow
Keyword(s):  
Case Reports ◽  
International Headache Society ◽  
Pain Clinic ◽  
Paroxysmal Hemicrania ◽  
Validated Questionnaires ◽  
Follow Up Study ◽  
Patient Pain ◽  
International Headache Society Classification

Whereas paroxysmal hemicrania (PH) is studied extensively in adults, even case reports of PH in children are rare. We present the first prospective follow-up study on PH in children. Our aim was to investigate whether differences exist between paediatric and adult patients. We assessed all children with chronic headache who were referred to our paediatric out-patient pain clinic within 3 years based on interviews and validated questionnaires. Among 628 patients we found five children with PH (0.8%) and three with probable PH (0.5%), in total 1.3%. Pain characteristics, autonomic symptoms and treatment response to indomethacin were similar to adult PH patients. Our results demonstrate that the International Headache Society classification of PH is also applicable to children. We suspect that PH has been underdiagnosed in children and therefore suboptimally treated thus far.

scholarly journals Tolosa-Hunt syndrome - diagnostic problem of painful ophthalmoplegia

2012 ◽  
Vol 69 (7) ◽  
pp. 627-630 ◽  
Author(s):  
Jelena Paovic ◽  
Predrag Paovic ◽  
Ivica Bojkovic ◽  
Mirjana Nagulic ◽  
Vojislav Sredovic
Keyword(s):  
Optic Nerve ◽  
Cavernous Sinus ◽  
Inflammatory Process ◽  
Positive Response ◽  
Case Reports ◽  
International Headache Society ◽  
Hunt Syndrome ◽  
International Headache Society Classification ◽  
Periorbital Pain

Background. Tolosa-Hunt syndrome (THS) is an uncommon disease caused by non-specific inflammation of the cavernous sinus, superior orbital fissure and the apex of the orbit. The disease is characterized by periorbital pain, paresis of the bulbomotor and quick response to steroid treatment. The orbital process may lead to optic nerve atrophy. According to the International Headache Society Classification of 2004, the diagnostic protocol includes magnetic resonance imaging (MRI) and biopsy. Case reports. We presented 46-year old male patient, with THS. The patient had unilateral periorbital pain, inflammatory process in the cavernous sinus, the apex of the orbit and the paranasal sinuses. Inflammatory process had spread into the fascia of the bulbomotor and performed compression to the optic nerve, causing paresis of the bulbomotor, protrusion of the eyeball and atrophy of the optic nerve. Pulse doses of corticosteroids were effective. Regarding the presented patient, diagnostic dilemmas arose from nonspecific sinusitis. The initial ophthalmological diagnosis, based on periorbital pain, drop in visual acuity and the narrow chamber angle was angular glaucoma, which resulted in a delayed diagnosis of THS and the beginning of the treatment. MRI and positive response to the treatment with corticosteroids were relevant for making the diagnosis. Conclusion. According to the International Headache Society Classification of 2004, THS is an entity that occurs rarely, its etiopathogenesis is unknown, it is manifested clinically by unilateral orbital pain associated with simple or multiple oculomotor paralyses, which resolves spontaneously but may recur. MRI orbital phlebography and biopsy are the recommended methods for making diagniosis. In our patient MRI findings and positive response to the corticosteroide treatment were relevant for making the diagnosis.

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