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Cited by 231Vestibular and auditory disordersMigraine and Headache StudiesHearing, Cochlea, Tinnitus, Genetics

Auditory and vestibular symptoms and chronic subjective dizziness in patients with Menière’s disease, vestibular migraine, and Menière’s disease with concomitant vestibular migraine

Neff, Brian A., Staab, Jeffrey P., Eggers, Scott D., Carlson, Matthew L., Schmitt, William R., Van Abel, Kathryn M., Worthington, Douglas K., Beatty, Charles W. +2 more·2012·Otology & Neurotology
DOI 10.1097/mao.0b013e31825d644a
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Abstract

OBJECTIVE: To compare presentations of Ménière's disease (MD), vestibular migraine (VM), and Ménière's disease plus vestibular migraine (MDVM), with and without comorbid chronic subjective dizziness (CSD). STUDY DESIGN: Retrospective review with diagnosis confirmed by consensus conference of investigators using published criteria for MD, VM, and CSD. SETTING: Ambulatory, tertiary dizziness clinic. PATIENTS: Approximately 147 consecutive patients with diagnoses of MD, VM, or MDVM, with/without comorbid CSD. INTERVENTIONS: Diagnostic consultation. MAIN OUTCOME MEASURES: Similarities and differences between diagnostic groups in demographics; symptoms; and results of neurotologic, audiometric, and vestibular laboratory assessments. RESULTS: Seventy-six patients had MD, 55 MD alone. Ninety-two patients had VM, 71 VM alone. Twenty-one patients had MDVM, representing about one-quarter of those diagnosed with MD or VM. Clinical features thought to differentiate VM from MD were found in all groups. Twenty-seven patients with VM (38%) had ear complaints (subjective hearing loss, aural pressure, and tinnitus) during episodes of vestibular symptoms and headache, including 10 (37%) with unilateral symptoms. Conversely, 27 patients with MD alone (49%) had headaches with migraine features that did not meet full IHS diagnostic criteria, migrainous symptoms (photophobia, headache with vomiting), or first-degree relative with migraine. Including MDVM patients, 59% (45/76) of all patients with MD had migrainous features. Thirty-two patients had CSD; most (29; 91%) were in the VM group. CONCLUSION: Comorbidity was common between MD and VM, and their symptoms overlapped. More specific diagnostic criteria are needed to differentiate these diseases and address their coexistence. CSD co-occurred with VM but was rarely seen with MD.

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Authors
Neff, B. A., Staab, J. P., Eggers, S. D., Carlson, M. L., Schmitt, W. R., Van Abel, K. M., Worthington, D. K., Beatty, C. W., Driscoll, C. L., & Shepard, N. T.
Affiliations
Mayo Clinic (US)
Corresponding author
  • Neff, Brian A.
  • Carlson, Matthew L.
  • Schmitt, William R.
  • Worthington, Douglas K.
  • Beatty, Charles W.
  • Driscoll, Colin L.
  • Shepard, Neil T.
ORCID
Venue
Otology & Neurotology
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2012-09
Volume
33
Issue
7
Pages
1235-1244
ISSN
1531-7129 (ISSN-L)
DOI
10.1097/mao.0b013e31825d644a
OpenAlex
W2322020460
Cited by
231
References
39
Citations by year
2026: 15 · 2025: 29 · 2024: 19 · 2023: 18 · 2022: 19 · 2021: 19 · 2020: 14 · 2019: 19 · 2018: 14 · 2017: 13 · 2016: 19 · 2015: 9 · 2014: 14 · 2013: 10
FWCI
5.31
Type
journal article
Language
en
Open access
closed
Locations
  • Otology & Neurotology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Life Sciences › Neuroscience › Neurology › Vestibular and auditory disorders
  • Health Sciences › Medicine › Psychiatry and Mental health › Migraine and Headache Studies
  • Life Sciences › Neuroscience › Sensory Systems › Hearing, Cochlea, Tinnitus, Genetics
Keywords
Meniere's disease, vestibular migraine, comorbidities, differential diagnosis, tinnitus, headache, photophobia, vestibular symptoms, diagnostic criteria
MeSH terms
Adult, Dizziness, Female, Humans, Male, Meniere Disease, Migraine Disorders, Retrospective Studies, Tinnitus, Photophobia, Hearing Loss

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