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Motion sickness whilst reading as a passenger in the car is highly predictive of vestibular migraine.
Rova, Konstantina; Joffily, Lucia; Carvalho, Lara; Cortese, Elvira; Koohi, Nehzat; Kaski, Diego.
Afiliación
  • Rova K; Department of Clinical and Movement Neurosciences, Institute of Neurology, University College London, London, United Kingdom.
  • Joffily L; ENT Department, General Hospital George Papanikolaou, Thessaloniki, Greece.
  • Carvalho L; Department of Clinical and Movement Neurosciences, Institute of Neurology, University College London, London, United Kingdom.
  • Cortese E; Universidade Federal do Estado do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
  • Koohi N; Department of Audiovestibular Medicine, Royal National ENT Hospital, London, United Kingdom.
  • Kaski D; Department of Clinical and Movement Neurosciences, Institute of Neurology, University College London, London, United Kingdom.
Front Neurol ; 15: 1426081, 2024.
Article en En | MEDLINE | ID: mdl-39206287
ABSTRACT

Background:

Vestibular Migraine (VM) is a prevalent vestibular disorder, affecting up to 2.7% of the general population. Despite the establishment of diagnostic criteria by the Bárány Society and its inclusion in the International Classification of Headache Disorders, the clinical diagnosis of VM remains challenging due to its complex pathophysiology and symptom overlap with other dizziness disorders. Motion sickness is a core feature of migraine and can be interrogated through simple questionnaires.

Objective:

This study aims to identify to what extent motion sensitivity can predict VM compared to other causes of dizziness.

Methods:

We conducted a cross-sectional study involving 113 patients from the vestibular neurology clinics at University College London Hospitals. Participants were categorized into VM, Persistent Postural Perceptual Dizziness (PPPD), combined VM and PPPD, and 'other' dizziness etiologies. Data on motion sickness history and dizziness during car travel were collected through structured interviews and analyzed using logistic regression to assess the predictive value of these symptoms for VM.

Results:

A substantial portion of patients with VM (91.2%) reported nausea or dizziness when reading as a passenger, a symptom significantly more prevalent than in those with PPPD or other dizziness diagnoses. Logistic regression indicated that VM patients are significantly more likely to experience these symptoms compared to non-VM patients, with an odds ratio suggesting a strong predictive value for this symptom in diagnosing VM.

Conclusion:

The findings highlight increased motion sensitivity while reading in a moving vehicle as a promising diagnostic tool for VM, offering a practical aid in clinical settings to distinguish VM from other vestibular disorders.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Neurol Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Suiza
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Front Neurol Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Suiza