Vestibular migrain in clinical practice

Vestibular migraine is one of frequently met etiologies of central vertigo; clinical characteristics are association of vertigo signs and migrainous headache. Criteria for classification of the vestibular migraine were established together by Bárány Society and International Headache Society (IHS).

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Clinical Characteristics and Therapeutic Results in a Series of 68 Patients with Occipital Neuralgia

Pain Medicine ◽

10.1093/pm/pnz199 ◽

2019 ◽

Author(s):

Enrique Martínez-Pías ◽

Javier Trigo-López ◽

David García-Azorín ◽

Aisling McGreal ◽

Ángel Luis Guerrero Peral

Keyword(s):

Clinical Characteristics ◽

Negative Impact ◽

International Headache Society ◽

Tertiary Hospital ◽

Occipital Neuralgia ◽

Headache Disorders ◽

Number Of Patients ◽

Therapeutic Results ◽

Prolonged Latency

Abstract Objective Cranial pain is a condition that has a negative impact on human lives, and occipital neuralgia is among its causes. This study aims to evaluate the clinical characteristics and therapeutic results of a series of patients with occipital neuralgia. Design Prospective registry (observational study). Settings Headache outpatient clinic in a tertiary hospital. Subjects Sixty-eight cases. Methods Demographic and nosological characteristics have been analyzed, as well as treatment response of occipital neuralgia. All patients were recruited between January 2008 and January 2018, and the diagnosis of occipital neuralgia was made according to the International Headache Society (International Classification of Headache Disorders) criteria being utilized at the time of diagnosis. Results Sixty-eight patients were diagnosed with occipital neuralgia, which corresponded to 1.2% of the total number of patients (5,515) who visited our Headache Unit during the aforementioned period. Fifty-four (79.4%) of them were female. Baseline pain was present in 62 (91.1%) patients, and exacerbations in 42 (61.8%). Latency from onset (range) was 27.7 ± 56.1 (1–360) months. Conclusions Occipital neuralgia is an uncommon disorder in the sample explored. The prolonged latency between the onset of symptoms and diagnosis suggests that there should be an increased awareness of this disorder.

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Migraine and vertigo

Oxford Textbook of Headache Syndromes ◽

10.1093/med/9780198724322.003.0013 ◽

2020 ◽

pp. 128-137

Author(s):

Yoon-Hee Cha

Keyword(s):

Migraine Headache ◽

Clinical Characteristics ◽

Vestibular Migraine ◽

Headache Disorders ◽

Temporal Profile ◽

Growing Body ◽

Vestibular Symptoms ◽

The Common ◽

Treatment Responses

The phenomena of migraine headache and vertigo share many epidemiological, anatomical, and clinical characteristics. The historically parallel development of the neuroscience of each field has formally intersected in the development of consensus criteria for vestibular migraine and the inclusion of vestibular migraine in the International Classification of Headache Disorders. Differences exist in the temporal profile of head pain and vertigo as manifestations of migraine, which can obscure the association. However, the growing body of evidence on the common demographic, neurochemical signature, and treatment responses of pain and vestibular symptoms indicate that they exist as symptoms of a common syndrome, one which can only be fully understood by recognizing the significance of each kind of manifestation.

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Vestibular migraine of childhood and recurrent vertigo of childhood: Diagnostic criteria consensus document of the committee for the classification of vestibular disorders of the bárány society and the international headache society

Journal of Vestibular Research ◽

10.3233/ves-200003 ◽

2020 ◽

pp. 1-9

Author(s):

Raymond van de Berg ◽

Josine Widdershoven ◽

Alexandre Bisdorff ◽

Stefan Evers ◽

Sylvette Wiener-Vacher ◽

...

Keyword(s):

Diagnostic Criteria ◽

Past History ◽

International Headache Society ◽

Vestibular Migraine ◽

Future Research ◽

Vestibular Disorders ◽

Consensus Document ◽

Severe Intensity ◽

Vestibular Symptoms

This paper describes the diagnostic criteria for “Vestibular Migraine of Childhood”, “probable Vestibular Migraine of Childhood” and “Recurrent Vertigo of Childhood” as put forth by the Committee for the Classification of Vestibular Disorders of the Bárány Society (ICVD) and the Migraine Classification subgroup of the International Headache Society. Migraine plays an important role in some subgroups of children with recurrent vertigo. In this classification paper a spectrum of three disorders is described in which the migraine component varies from definite to possibly absent. These three disorders are: Vestibular Migraine of Childhood, probable Vestibular Migraine of Childhood and Recurrent Vertigo of Childhood. The criteria for Vestibular Migraine of Childhood (VMC) include (A) at least five episodes with vestibular symptoms of moderate or severe intensity, lasting between five minutes and 72 hours, (B) a current or past history of migraine with or without aura, and (C) at least half of episodes are associated with at least one migraine feature. Probable Vestibular Migraine of Childhood (probable VMC) is considered when at least three episodes with vestibular symptoms of moderate or severe intensity, lasting between five minutes and 72 hours, are accompanied by at least criterion B or C from the VMC criteria. Recurrent Vertigo of Childhood (RVC) is diagnosed in case of at least three episodes with vestibular symptoms of moderate or severe intensity, lasting between 1 minute and 72 hours, and none of the criteria B and C for VMC are applicable. For all disorders, the age of the individual needs to be below 18 years old. It is recommended that future research should particularly focus on RVC, in order to investigate and identify possible subtypes and its links or its absence thereof with migraine.

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International Classification of Headache Disorders 3rd edition beta-based field testing of vestibular migraine in China: Demographic, clinical characteristics, audiometric findings and diagnosis statues

Cephalalgia ◽

10.1177/0333102415587704 ◽

2015 ◽

Vol 36 (3) ◽

pp. 240-248 ◽

Cited By ~ 21

Author(s):

Yixin Zhang ◽

Qingtao Kong ◽

Jinjin Chen ◽

Lunxi Li ◽

Dayan Wang ◽

...

Keyword(s):

Clinical Characteristics ◽

Cerebral Arteries ◽

Field Testing ◽

International Classification ◽

Vestibular Migraine ◽

Headache Disorders ◽

Headache Clinic ◽

Definition Of ◽

Beta Version

Objectives This study explored the clinical characteristics of vestibular migraine in Chinese subjects and performed a field test of the criteria of the International Classification of Headache Disorders 3rd edition beta version. Methods Consecutive patients with vestibular migraine were surveyed and registered in a headache clinic during the study period. The diagnosis of vestibular migraine was made according to International Classification of Headache Disorders 3rd edition beta version. Assessments included standardized neuro-otology bedside examination, pure-tone audiogram, bithermal caloric testing, neurological imaging, cervical X-ray or magnetic resonance imaging, Doppler ultrasound of cerebral arteries and laboratory tests. Results A total of 67 patients (62 female/five male, 47.8 ± 10.3 years old) were enrolled in this study. The mean ages of migraine and vertigo onset were 32.2 ± 11.5 and 37.9 ± 10.1 years, respectively. The most common migraine subtype was migraine without aura (79%), followed by migraine with aura (12%) and chronic migraine (9%). The duration of vertigo attacks varied from seconds to days and 25% of patients had attacks that lasted less than 5 minutes. Among the patients with short-lasting attacks, 75% of these patients had ≥5 attacks per day within 72 hours. Auditory symptoms were reported in 36% of the patients. Migraine prophylactic treatments were effective in 77% of the patients. Conclusions Our study showed that the clinical features of vestibular migraine in China were similar to those of Western studies. The definition of vertigo episodes and migraine subtypes of vestibular migraine in International Classification of Headache Disorders 3rd edition beta version might be modified further. More than five vertigo attacks per day within 72 hours might be helpful as far as identifying vestibular migraine patients with short-lasting attacks.

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Retraction: Clinical Characteristics and Diagnostic Classification of Vertigo in Children

Korean Journal of Otorhinolaryngology - Head and Neck Surgery ◽

10.3342/kjorl-hns.2011.54.1.105 ◽

2011 ◽

Vol 54 (1) ◽

pp. 105

Keyword(s):

Clinical Characteristics ◽

Diagnostic Classification

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STUDY ON CLINICAL CHARACTERISTICS AND RESULT OF TREATMENT BENIGN VOCAL CORD TUMOR WITH RIGID LARYNGEAL ENDOSCOPIC SURGERY

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2012.2.8 ◽

2012 ◽

pp. 58-65

Author(s):

Duy Thai Truong ◽

Van Dung Phan ◽

Tu The Nguyen

Keyword(s):

Vocal Cord ◽

Endoscopic Surgery ◽

Clinical Characteristics ◽

University Hospital ◽

High Rate ◽

Treatment Rate ◽

Reinke’S Edema ◽

Vocal Nodules ◽

A Prospective Study

Objective: Study on clinical characteristics and result of treatment benign vocal cord tumor with suspensive laryngeal endoscopic surgery. Materials and Methods: A prospective study was undertaken in 43 patients who had benign vocal cord tumor and performed a suspensive laryngeal endoscopic surgery at ENT Dept. of Hue University Hospital, from 3/2010 to 5/2011. Results: The most common was group was 31 - 45 (44.2%). There was no difference of gender. Moderate hoarness was 67.4%. Classification of benign laryngeal tumor: vocal nodules (13 cases), vocal cyst (18 cases), vocal polyp (10 cases) and Reinke’s edema (2 cases). The successful treatment rate of vocal benign tumor was 88.4%. Conclusions: Suspensive laryngeal endoscopic surgery was the best method to cure benign vocal cord tumor. The surgeon had a clear operative field, easy manoeuver, high rate of cure and less complication.

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CLINICAL AND PARA-CLINICAL CHARACTERISTICS OF SICK NEWBORN BABIES TREATED AT PEDIATRIC DEPARTMENT OF HUE UNIVERSITY HOSPITAL

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2011.2.15 ◽

2011 ◽

pp. 112-117

Author(s):

Thi Kieu Nhi Nguyen

Keyword(s):

Respiratory Distress ◽

Congenital Malformation ◽

Clinical Characteristics ◽

Descriptive Study ◽

Neonatal Unit ◽

University Hospital ◽

Pediatric Department ◽

Sick Newborn ◽

Observational Descriptive Study

Objectives: 1. Describe neonatal classification of WHO. 2. Identify some principal clinical and paraclinical signs of term, preterm, post term babies. Patients and method: an observational descriptive study of 233 newborns hospitalized in neonatal unit at Hue university‘ s hospital was done during 12 months from 01/01/2009 to 31/12/2009 for describing neonatal classification and identifying principal clinical and paraclinical signs. Results: Premature (16.74%); Term babies (45.5%); Post term (37.76%); Premature: asphyxia (43.59%), hypothermia (25.64%), vomit (30.77%), jaundice (61.54%), congenital malformation (17.95%); CRP > 10mg/l (53.85%); anemia Hb < 15g/dl (12.82%). Term babies: poor feeding (21.7%); fever (24.53%); CRP > 10mg/l (53.77%); Hyperleucocytes/ Leucopenia (35.85%). Post term: respiratory distress (34%); lethargy (29.55%); vomit (26.14%); polycuthemia (1.14%); hypoglycemia (22.73%). Conclusion: each of neonatal type classified by WHO presente different clinical and paraclinical. Signs. The purpose of this research is to help to treat neonatal pathology more effectively.

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