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Auditory and vestibular symptoms and chronic subjective dizziness in patients with Menière’s disease, vestibular migraine, and Menière’s disease with concomitant vestibular migraine
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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“Episodic disorders add distinctive vestibular symptoms to the background of PPPD [58], such acute attacks of vertigo plus cephalalgia, photophobia and phonophobia, with or without visual aura for vestibular migraine [49], short-lived positional vertigo for BPPV [87], or attacks of vertigo, tinnitus, and fluctuating hearing for Menière’s disease [51].”
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Metadata
- 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.
- Venue
- Otology & Neurotology
- Published
- 2012-09
- Volume
- 33
- Issue
- 7
- Pages
- 1235-1244
- ISSN
- 1531-7129 (ISSN-L)
- 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 › Clinical Neurology › 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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