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Academia Brasileira de Neurologia - ABNEURO, Arquivos de Neuro-Psiquiatria, 1(74), p. 22-28

DOI: 10.1590/0004-282x20150180

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Migraine patients consistently show abnormal vestibular bedside tests

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Migraine and vertigo are common disorders, with lifetime prevalences of 16% and 7% respectively, and co-morbidity around 3.2%. Vestibular syndromes and dizziness occur more frequently in migraine patients. We investigated bedside clinical signs indicative of vestibular dysfunction in migraineurs.Objective To test the hypothesis that vestibulo-ocular reflex, vestibulo-spinal reflex and fall risk (FR) responses as measured by 14 bedside tests are abnormal in migraineurs without vertigo, as compared with controls.Method Cross-sectional study including sixty individuals – thirty migraineurs, 25 women, 19-60 y-o; and 30 gender/age healthy paired controls.Results Migraineurs showed a tendency to perform worse in almost all tests, albeit only the Romberg tandem test was statistically different from controls. A combination of four abnormal tests better discriminated the two groups (93.3% specificity).Conclusion Migraine patients consistently showed abnormal vestibular bedside tests when compared with controls.