<p>To determine the clinical and epidemiological profile of patients diagnosed to have vestibular migraine with respect to demographic characteristics, clinical features, triggering factors and audio vestibular findings. A prospective observational study was conducted in a tertiary care otorhinolaryngology department. Study included seventy patients aged between 18–60 years diagnosed with vestibular migraine based on International classification of headache disorders-3 (ICHD-3) and Bárány Society criteria. All the patients under inclusion criteria were evaluated for clinical features, triggering factors and relevant investigations. The mean age of the study population was 39.8 ± 6.4 years, with a female predominance (71.4%). Episodic vertigo was present in all the patients. Headache (62.8%), nausea/vomiting (68.5%), photophobia (54.2%), and phonophobia (47.1%) were common associated features. Stress and sleep deprivation were the most frequent triggers. Audiological evaluation was normal in 82.8% of patients. Several clinical variables showed statistically significant associations (<i>p</i> &lt; 0.05) in this study. Vestibular migraine predominantly affects women in their late 30s to mid-40s and is frequently associated with menstrual cycle, stress being the most common trigger. Patients presented with recurrent episodic vertigo had features of migraine. Early recognition and coordinated multidisciplinary approach are essential for achieving better patient outcome.</p>

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Vestibular Migraine Profile: Our Perspective

  • Suni Iqbal,
  • Vijay Yoginath,
  • K. M. Vidya Shree,
  • Jayapriya,
  • R. Jyothi Swarup

摘要

To determine the clinical and epidemiological profile of patients diagnosed to have vestibular migraine with respect to demographic characteristics, clinical features, triggering factors and audio vestibular findings. A prospective observational study was conducted in a tertiary care otorhinolaryngology department. Study included seventy patients aged between 18–60 years diagnosed with vestibular migraine based on International classification of headache disorders-3 (ICHD-3) and Bárány Society criteria. All the patients under inclusion criteria were evaluated for clinical features, triggering factors and relevant investigations. The mean age of the study population was 39.8 ± 6.4 years, with a female predominance (71.4%). Episodic vertigo was present in all the patients. Headache (62.8%), nausea/vomiting (68.5%), photophobia (54.2%), and phonophobia (47.1%) were common associated features. Stress and sleep deprivation were the most frequent triggers. Audiological evaluation was normal in 82.8% of patients. Several clinical variables showed statistically significant associations (p < 0.05) in this study. Vestibular migraine predominantly affects women in their late 30s to mid-40s and is frequently associated with menstrual cycle, stress being the most common trigger. Patients presented with recurrent episodic vertigo had features of migraine. Early recognition and coordinated multidisciplinary approach are essential for achieving better patient outcome.