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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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Neff, B. A., & Carlson, M. L. (2015) · Springer eBooks · doi:10.1007/978-3-319-14550-1_6
Clinical features of dizziness without neurological symptom
Tsunoda, R., & Fushiki, H. (2017) · Equilibrium Research · doi:10.3757/jser.76.252
(2013) · Springer eBooks · doi:10.1007/978-3-642-23499-6_100632
Cerebral Venous Sinus Thrombosis Presenting as Ménière’s Disease
Hur, D. G., Ryu, K. H., Ahn, S. K., & Lee, H. (2021) · Korean Journal of Otorhinolaryngology - Head and Neck Surgery · doi:10.3342/kjorl-hns.2021.00227
Martinkovič, L., & Jeřábek, J. (2021) · Neurologie pro praxi · doi:10.36290/neu.2020.081
Varadarajan, V. V., & Antonelli, P. J. (2018) · Springer eBooks · doi:10.1007/978-3-319-97858-1_22
Cox, M. D., Norton, J. A., & Dornhoffer, J. L. (2018) · Springer eBooks · doi:10.1007/978-3-319-90999-8_22
Can vestibular migraine development be predicted in patients with new onset migraine headaches?
Çelebisoy, N., AK, A., Ataç, C., Özdemir, H. N., Gökçay, F., Durmaz, G. S., Kartı, D. T., Toydemir, H. E., Yayla, V., Işıkay, İ. Ç., et al. (2022) · Neurology Asia · doi:10.54029/2022whv · Cited by 1
Prevalence of Headache in Patients with Tinnitus and Severity
Kabaya, K., Takahashi, M., Yamakawa, M., & Iwasaki, S. (2022) · AUDIOLOGY JAPAN · doi:10.4295/audiology.65.201
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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