Skip to main content Accessibility help
×
×
Home

Comparison of caloric reactivity between migraineurs and non-migraineurs

  • C A Foster (a1) and C K Pollard (a2)

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.

Copyright

Corresponding author

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

References

Hide All
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;58:885–94
2Minor, LB. Meniere's disease and migraine. Arch Otolaryngol Head Neck Surg 2005;131:460
3Uneri, A. Migraine and benign paroxysmal positional vertigo: an outcome study of 476 patients. Ear Nose Throat J 2004;83:814–15
4Ishiyama, A, Jacobson, KM, Baloh, RW. Migraine and benign positional vertigo. Ann Otol Rhinol Laryngol 2000;109:377–80
5Main, A, Dowson, A, Gross, M. Photophobia and phonophobia in migraineurs between attacks. Headache 1997;37:492–5
6Vitkovic, J, Paine, M, Rance, G. Neuro-otological findings in patients with migraine and nonmigraine-related dizziness. Audiol Neurootol 2008;13:113–22
7Neuhauser, H, Leopold, M, Von Brevern, M, Arnold, G, Lempert, T. The interrelations of migraine, vertigo and migrainous vertigo. Neurology 2001;56:436–41
8Arriaga, MA, Chen, DA, Hillman, TA, Kunschner, L, Arriaga, RY. Visually enhanced vestibulo-ocular reflex: a diagnostic tool for migraine vestibulopathy. Laryngoscope 2006;116:1577–9
9Lipton, RB, Bigal, ME, Diamond, M, Freitag, F, Reed, ML, Steward, WF. Migraine prevalence, disease burden, and the need for preventative therapy. Neurology 2007;68:343–9
10Jongkees, LB. Value of the caloric test of the labyrinth. Arch Otolaryngol 1948;48:402–17
11Baloh, RW, Furman, JM. Modern vestibular function testing. West J Med 1989;150:5967
12Headache Classification Subcommittee of the International Headache Society. The International Classification of Headache Disorders: 2nd edition. Cephalalgia 2004;24(suppl 1):9160
13Vibert, D, Liard, P, Hasler, R. Bilateral idiopathic loss of peripheral vestibular function with normal hearing. Acta Otolaryngol 1995;115:611–15
14Grenman, R. Involvement of the audiovestibular system in multiple sclerosis. An otoneurologic and audiologic study. Acta Otolaryngol Suppl 1985;420:195
15Teggi, R, Caldirola, D, Colombo, B, Perna, G, Comi, G, Bellodi, L et al. Dizziness, migrainous vertigo and psychiatric disorders. J Laryngol Otol 2010;124:285–90
16Cutrer, FM, Charles, A. The neurogenic basis of migraine. Headache 2008;48:1411–14
17Schürks, M, Diener, HC. Pathophysiology of migraine and clinical implications [in German]. Schmerz 2008;22:523–30
18Langsrud, Ø. ANOVA for unbalanced data: use type II instead of type III sums of squares. Stat Comput 2003;13:163–7
19Henricksson, NG. Speed of slow component and duration in caloric nystagmus. Acta Otolaryngol 1956;46:329
20Coppola, G, Pierelli, F, Schoenen, J. Is the cerebral cortex hyperexcitable or hyperresponsive in migraine? Cephalalgia 2007;27:1427–39
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;10:144–55
22Nafie, Y, Friedman, M, Hamid, M. Auditory and vestibular findings in patients with vestibular migraine. Audiol Med 2011;9:98102
23Büttner, U, Helmchen, CH, Brandt, TH. Diagnostic criteria for central versus peripheral positioning nystagmus and vertigo: a review. Acta Otolaryngol 1999;119:15
Recommend this journal

Email your librarian or administrator to recommend adding this journal to your organisation's collection.

The Journal of Laryngology & Otology
  • ISSN: 0022-2151
  • EISSN: 1748-5460
  • URL: /core/journals/journal-of-laryngology-and-otology
Please enter your name
Please enter a valid email address
Who would you like to send this to? *
×

Keywords

Metrics

Altmetric attention score

Full text views

Total number of HTML views: 0
Total number of PDF views: 0 *
Loading metrics...

Abstract views

Total abstract views: 0 *
Loading metrics...

* Views captured on Cambridge Core between <date>. This data will be updated every 24 hours.

Usage data cannot currently be displayed