Association of Benign Recurrent Vertigo and Migraine in 208 Patients

The aim of this study was to determine the association of benign recurrent vertigo (BRV) and migraine, using standardized questionnaire-based interview of 208 patients with BRV recruited through a University Neurotology clinic. Of 208 patients with BRV, 180 (87%) met the International Classification of Headache Disorders 2004 criteria for migraine: 112 migraine with aura (62%) and 68 without aura (38%). Twenty-eight (13%) did not meet criteria for migraine. Among patients with migraine, 70% experienced headache, one or more auras, photophobia, or auditory symptoms with some or all of their vertigo attacks, meeting the criteria for definite migrainous vertigo. Thirty per cent never experienced migraine symptoms concurrent with vertigo attacks. These met criteria for probable migrainous vertigo. Among patients without migraine, 21% experienced either photophobia or auditory symptoms with some or all of their vertigo attacks; 79% experienced only isolated vertigo. The age of onset and duration of vertigo attacks did not differ significantly between patients with (34 ± 1.2 years) and patients without migraine (31 ± 3.0 years). In patients with migraine, the age of onset of migraine headache preceded the onset of vertigo attacks by an average of 14 years and aura preceded vertigo by 8 years. The most frequent duration of vertigo attacks was between 1 h and 1 day. Benign recurrent vertigo is highly associated with migraine, but a high proportion of patients with BRV and migraine never have migraine symptoms during their vertigo attacks. Other features such as age of onset and duration of vertigo are similar between patients with or without migraine.

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Prospective testing of ICHD-3 beta diagnostic criteria for migraine with aura and migraine with typical aura in patients with transient ischemic attacks

Cephalalgia ◽

10.1177/0333102417702121 ◽

2017 ◽

Vol 38 (3) ◽

pp. 561-567 ◽

Cited By ~ 10

Author(s):

Elena R Lebedeva ◽

Natalia M Gurary ◽

Denis V Gilev ◽

Jes Olesen

Keyword(s):

Diagnostic Criteria ◽

Migraine With Aura ◽

Field Test ◽

Structured Interview ◽

International Classification ◽

Main Body ◽

Transient Ischemic Attacks ◽

Headache Disorders ◽

Better Than

Introduction The International Classification of Headache Disorders 3rd edition beta (ICHD-3 beta) gave alternative diagnostic criteria for 1.2 migraine with aura (MA) and 1.2.1 migraine with typical aura (MTA) in the appendix. The latter were presumed to better differentiate transient ischemic attacks (TIA) from MA. The aim of the present study was to field test that. Methods Soon after admission, a neurologist interviewed 120 consecutive patients diagnosed with TIA after MRI or CT. Semi-structured interview forms addressed all details of the TIA episode and all information necessary to apply the ICHD-3beta diagnostic criteria for 1.2, 1.2.1, A1.2 and A1.2.1. Results Requiring at least one identical previous attack, the main body and the appendix criteria performed almost equally well. But requiring only one attack, more than a quarter of TIA patients also fulfilled the main body criteria for 1.2. Specificity was as follows for one attack: 1.2: 0.73, A1.2: 0.91, 1.2.1: 0.88 and A1.2.1: 1.0. Sensitivity when tested against ICHD-2 criteria were 100% for the main body criteria (because they were unchanged), 96% for A1.2 and 94% for A1.2.1. Conclusion The appendix criteria performed much better than the main body criteria for 1.2 MA and 1.2.1 MTA when diagnosing one attack (probable MA). We recommend that the appendix criteria should replace the main body criteria in the ICHD-3.

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Prevalence of menstrual migraine: A population-based study

Cephalalgia ◽

10.1177/0333102413507637 ◽

2013 ◽

Vol 34 (4) ◽

pp. 280-288 ◽

Cited By ~ 33

Author(s):

Kjersti G Vetvik ◽

E Anne MacGregor ◽

Christofer Lundqvist ◽

Michael B Russell

Keyword(s):

Epidemiological Study ◽

Migraine With Aura ◽

Migraine Without Aura ◽

Population Based ◽

International Classification ◽

Menstrual Migraine ◽

Headache Disorders ◽

Population Based Study ◽

Menstrual Cycles

Aim To present data from a population-based epidemiological study on menstrual migraine. Material and methods Altogether, 5000 women aged 30–34 years were screened for menstrual migraine. Women with self-reported menstrual migraine in at least half of their menstrual cycles were invited to an interview and examination. We expanded the International Classification of Headache Disorders III beta appendix criteria on menstrual migraine to include both migraine without aura and migraine with aura, as well as probable menstrual migraine with aura and migraine without aura. Results A total of 237 women were included in the study. The prevalence among all women was as follows: any type of menstrual migraine 7.6%; menstrual migraine without aura 6.1%; menstrual migraine with aura 0.6%; probable menstrual migraine without aura 0.6%; probable menstrual migraine with aura 0.3%. The corresponding figures among female migraineurs were: any type of menstrual migraine 22.0%, menstrual migraine without aura 17.6%, menstrual migraine with aura 1.7%, probable menstrual migraine without aura 1.6% and probable menstrual migraine with aura 1.0%. Conclusion More than one of every five female migraineurs aged 30–34 years have migraine in ≥50% of menstruations. The majority has menstrual migraine without aura and one of eight women had migraine with aura in relation to their menstruation. Our results indicate that the ICHD III beta appendix criteria of menstrual migraine are not exhaustive.

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Sporadic Hemiplegic Migraine with Seizures and Transient MRI Abnormalities

Case Reports in Neurological Medicine ◽

10.1155/2011/258372 ◽

2011 ◽

Vol 2011 ◽

pp. 1-4

Author(s):

Harsha Bhatia ◽

Fawzi Babtain

Keyword(s):

Rare Variant ◽

Migraine With Aura ◽

Restriction Pattern ◽

International Classification ◽

Headache Disorders ◽

Hemiplegic Migraine ◽

Motor Weakness ◽

Mri Features ◽

Over Time

Hemiplegic migraines are characterised by attacks of migraine with aura accompanied by transient motor weakness. There are both familial and sporadic subtypes, which are now recognised as separate entities by the International Classification of Headache Disorders, edition II (ICHD-II). Sporadic hemiplegic migraine is a rare variant of migraine, We report a case of sporadic hemiplegic migraine and seizures with MRI features suggestive of cortical hyper intensity and edema on T2 and FLAIR images with no restriction pattern on diffusion and these changes completely resolving over time, suggesting that these changes are due prolonged neuronal depolarization and not of ischemic origin.

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Episodic headache with spontaneous hypothermia reveal Shapiro’s syndrome variant with effectiveness of clonidine therapy

The Journal of Headache and Pain ◽

10.1186/s10194-021-01245-3 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Mickael Aubignat ◽

Melissa Tir ◽

Pierre Krystkowiak ◽

Daniela Andriuta

Keyword(s):

Parkinson’S Disease ◽

Rare Disease ◽

Rare Case ◽

Motor Fluctuation ◽

International Classification ◽

Headache Disorders ◽

Case Presentation ◽

Episodic Headache ◽

Triggering Factor

Abstract Background Episodic headache with spontaneous hypothermia constitute an uncommon association and is not well recognized in the International Classification of Headache Disorders (ICHD-3). Spontaneous periodic hypothermia, also called Shapiro’s syndrome, is a rare disease characterized by hypothermia attacks associated or not with hyperhidrosis without any triggering factor. Case presentation We report a rare case of Shapiro’s syndrome variantrevealed by episodes of headache with spontaneous hypothermia witheffectiveness of clonidine therapy in a 76-year-old Parkinson’s disease woman. Conclusions In the literature, apart from Shapiro’s syndrome, headache withhypothermia seem to occur very rarely. In our case,these symptoms may be considered as a very rare non-motor fluctuation ofParkinson’s disease.

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Vestibular Migraine with Visual Aura and Olfactory Hallucination in Children: Two Case Reports

Neuropediatrics ◽

10.1055/s-0038-1673642 ◽

2018 ◽

Vol 49 (06) ◽

pp. 414-416 ◽

Cited By ~ 1

Author(s):

T.R. Villa ◽

L.M. Agessi

Keyword(s):

Case Reports ◽

International Classification ◽

Vestibular Migraine ◽

Migraine Aura ◽

Headache Disorders ◽

Visual Aura ◽

Clinical Description ◽

Olfactory Hallucination

Background Approximately 3.9% children with migraine have olfactory hallucination which was defined as a perception of a smell without the substantial existence of any physical odor. Case We described the first two cases of children with vestibular migraine, presenting visual aura and olfactory hallucination. We reported two children with vertigo, visual aura, and olfactory hallucination before the headache who were responsive to topiramate. Conclusion The clinical description of olfactory hallucination presented some characteristics of migraine aura. Olfactory hallucinations could be inserted as a migraine aura in International Classification of Headache Disorders.

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