Vestibular Pathways Involvement in Children With Migraine: A Neuro-Otological Study
(Headache 2010;50:71‐76) Objective.— To assess, during symptom free intervals, the clinical, audiological, and vestibular findings in a cohort of child migraine sufferers, with or without vertigo or dizziness or both. Background.— In adults and children, dizziness and vertigo are frequently associat...
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description | (Headache 2010;50:71‐76)
Objective.— To assess, during symptom free intervals, the clinical, audiological, and vestibular findings in a cohort of child migraine sufferers, with or without vertigo or dizziness or both.
Background.— In adults and children, dizziness and vertigo are frequently associated with migraine.
Methods.— Twenty‐two child migraine sufferers with vestibular symptoms, aged 7‐13 years (group A), and 18 child migraine sufferers without vestibular symptoms, aged 8‐13 (group B) entered our study between January 2007 and June 2007. The characteristics of auditory functions and vestibular symptoms and signs were assessed and reviewed by a blinded physician.
Results.— The whole sample was found audiologically normal. In group A, 6 subjects had normal vestibular test results, whereas vestibular testing disclosed either peripheral or central sufferance or both, in the remaining 16 patients (73%). Twelve subjects from group B had normal vestibular test results whereas positive vestibular test results were reported in the remaining 6 subjects (33%).
Conclusions.— This single‐blind work outlines the brain stem abnormalities in children with migraine in the form of direct involvement of peripheral or central vestibular pathways or both. Interestingly, some children with migraine but without vestibular symptoms also had abnormal results at vestibular testing. This could demonstrate a subclinical involvement of vestibular pathways without clinical presentation. The subjects are still being followed up to evaluate the evolution of symptomatology. |
doi_str_mv | 10.1111/j.1526-4610.2009.01454.x |
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Objective.— To assess, during symptom free intervals, the clinical, audiological, and vestibular findings in a cohort of child migraine sufferers, with or without vertigo or dizziness or both.
Background.— In adults and children, dizziness and vertigo are frequently associated with migraine.
Methods.— Twenty‐two child migraine sufferers with vestibular symptoms, aged 7‐13 years (group A), and 18 child migraine sufferers without vestibular symptoms, aged 8‐13 (group B) entered our study between January 2007 and June 2007. The characteristics of auditory functions and vestibular symptoms and signs were assessed and reviewed by a blinded physician.
Results.— The whole sample was found audiologically normal. In group A, 6 subjects had normal vestibular test results, whereas vestibular testing disclosed either peripheral or central sufferance or both, in the remaining 16 patients (73%). Twelve subjects from group B had normal vestibular test results whereas positive vestibular test results were reported in the remaining 6 subjects (33%).
Conclusions.— This single‐blind work outlines the brain stem abnormalities in children with migraine in the form of direct involvement of peripheral or central vestibular pathways or both. Interestingly, some children with migraine but without vestibular symptoms also had abnormal results at vestibular testing. This could demonstrate a subclinical involvement of vestibular pathways without clinical presentation. The subjects are still being followed up to evaluate the evolution of symptomatology.</description><identifier>ISSN: 0017-8748</identifier><identifier>EISSN: 1526-4610</identifier><identifier>DOI: 10.1111/j.1526-4610.2009.01454.x</identifier><identifier>PMID: 19486179</identifier><identifier>CODEN: HEADAE</identifier><language>eng</language><publisher>Malden, USA: Blackwell Publishing Inc</publisher><subject>Adolescent ; Auditory system ; Biological and medical sciences ; Brain stem ; Brain Stem - physiopathology ; Caloric Tests ; Cardiovascular system ; Child ; Children ; Children & youth ; Cohort Studies ; Comorbidity ; Disability Evaluation ; dizziness ; Dizziness - diagnosis ; Dizziness - epidemiology ; Dizziness - physiopathology ; Evolution ; Female ; Headache ; Humans ; Male ; Medical sciences ; Medical treatment ; Migraine ; Migraine Disorders - epidemiology ; Migraine Disorders - physiopathology ; Neural Pathways - physiopathology ; Neurologic Examination ; Neurology ; nystagmus ; Nystagmus, Pathologic - diagnosis ; Nystagmus, Pathologic - epidemiology ; Nystagmus, Pathologic - physiopathology ; pediatric headache ; Pharmacology. Drug treatments ; Predictive Value of Tests ; Single-Blind Method ; Vascular diseases and vascular malformations of the nervous system ; Vasodilator agents. Cerebral vasodilators ; Vertigo ; Vertigo - diagnosis ; Vertigo - epidemiology ; Vertigo - physiopathology ; Vestibular Diseases - diagnosis ; Vestibular Diseases - epidemiology ; Vestibular Diseases - physiopathology ; Vestibular Nerve - physiopathology ; Vestibular system</subject><ispartof>Headache, 2010-01, Vol.50 (1), p.71-76</ispartof><rights>2009 the Authors. Journal compilation © 2009 American Headache Society</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4974-71a6f56b1dfb8484220fcaaad03bc17103927cb5e0a0452b1b5eed35d280820f3</citedby><cites>FETCH-LOGICAL-c4974-71a6f56b1dfb8484220fcaaad03bc17103927cb5e0a0452b1b5eed35d280820f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1526-4610.2009.01454.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1526-4610.2009.01454.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,777,781,1412,4010,27904,27905,27906,45555,45556</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=22292765$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19486179$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Marcelli, Vincenzo</creatorcontrib><creatorcontrib>Furia, Teresa</creatorcontrib><creatorcontrib>Marciano, Elio</creatorcontrib><title>Vestibular Pathways Involvement in Children With Migraine: A Neuro-Otological Study</title><title>Headache</title><addtitle>Headache</addtitle><description>(Headache 2010;50:71‐76)
Objective.— To assess, during symptom free intervals, the clinical, audiological, and vestibular findings in a cohort of child migraine sufferers, with or without vertigo or dizziness or both.
Background.— In adults and children, dizziness and vertigo are frequently associated with migraine.
Methods.— Twenty‐two child migraine sufferers with vestibular symptoms, aged 7‐13 years (group A), and 18 child migraine sufferers without vestibular symptoms, aged 8‐13 (group B) entered our study between January 2007 and June 2007. The characteristics of auditory functions and vestibular symptoms and signs were assessed and reviewed by a blinded physician.
Results.— The whole sample was found audiologically normal. In group A, 6 subjects had normal vestibular test results, whereas vestibular testing disclosed either peripheral or central sufferance or both, in the remaining 16 patients (73%). Twelve subjects from group B had normal vestibular test results whereas positive vestibular test results were reported in the remaining 6 subjects (33%).
Conclusions.— This single‐blind work outlines the brain stem abnormalities in children with migraine in the form of direct involvement of peripheral or central vestibular pathways or both. Interestingly, some children with migraine but without vestibular symptoms also had abnormal results at vestibular testing. This could demonstrate a subclinical involvement of vestibular pathways without clinical presentation. The subjects are still being followed up to evaluate the evolution of symptomatology.</description><subject>Adolescent</subject><subject>Auditory system</subject><subject>Biological and medical sciences</subject><subject>Brain stem</subject><subject>Brain Stem - physiopathology</subject><subject>Caloric Tests</subject><subject>Cardiovascular system</subject><subject>Child</subject><subject>Children</subject><subject>Children & youth</subject><subject>Cohort Studies</subject><subject>Comorbidity</subject><subject>Disability Evaluation</subject><subject>dizziness</subject><subject>Dizziness - diagnosis</subject><subject>Dizziness - epidemiology</subject><subject>Dizziness - physiopathology</subject><subject>Evolution</subject><subject>Female</subject><subject>Headache</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medical treatment</subject><subject>Migraine</subject><subject>Migraine Disorders - epidemiology</subject><subject>Migraine Disorders - physiopathology</subject><subject>Neural Pathways - physiopathology</subject><subject>Neurologic Examination</subject><subject>Neurology</subject><subject>nystagmus</subject><subject>Nystagmus, Pathologic - diagnosis</subject><subject>Nystagmus, Pathologic - epidemiology</subject><subject>Nystagmus, Pathologic - physiopathology</subject><subject>pediatric headache</subject><subject>Pharmacology. Drug treatments</subject><subject>Predictive Value of Tests</subject><subject>Single-Blind Method</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><subject>Vasodilator agents. Cerebral vasodilators</subject><subject>Vertigo</subject><subject>Vertigo - diagnosis</subject><subject>Vertigo - epidemiology</subject><subject>Vertigo - physiopathology</subject><subject>Vestibular Diseases - diagnosis</subject><subject>Vestibular Diseases - epidemiology</subject><subject>Vestibular Diseases - physiopathology</subject><subject>Vestibular Nerve - physiopathology</subject><subject>Vestibular system</subject><issn>0017-8748</issn><issn>1526-4610</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkV1v0zAUhi0EYmXwF5AlhLhK8fF3uECqylgnjQ1RYJeWkzirS5oMO9naf49DqyJxA76wj-znvMfnvAhhIFNI6-16CoLKjMt0QQnJpwS44NPtIzQ5PjxGE0JAZVpxfYKexbgmhHCZy6foBHKuJah8gpbfXex9MTQ24M-2Xz3YXcQX7X3X3LuNa3vsWzxf-aYKrsU3vl_hT_42WN-6d3iGr9wQuuy675ru1pe2wct-qHbP0ZPaNtG9OJyn6NvHs6_zRXZ5fX4xn11mJc8VzxRYWQtZQFUXmmtOKalLa21FWFGCAsJyqspCOGIJF7SAFLqKiYpqohPLTtGbve5d6H4OqQ-z8bF0TWNb1w3R5EQBT5v4J6kYYwCK6US--otcd0NoUxsGBJcEhOaQKL2nytDFGFxt7oLf2LAzQMzokFmb0QgzGmFGh8xvh8w2pb48FBiKjav-JB4sScDrA2BjGmkdbFv6eOQopWkscuzp_Z578I3b_fcHzOJs9mEMk0C2F_Cxd9ujgA0_jFRMCXNzdW4WS6HZnGrzhf0CMvu5SQ</recordid><startdate>201001</startdate><enddate>201001</enddate><creator>Marcelli, Vincenzo</creator><creator>Furia, Teresa</creator><creator>Marciano, Elio</creator><general>Blackwell Publishing Inc</general><general>Wiley-Blackwell</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7TK</scope><scope>7U7</scope><scope>C1K</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>201001</creationdate><title>Vestibular Pathways Involvement in Children With Migraine: A Neuro-Otological Study</title><author>Marcelli, Vincenzo ; Furia, Teresa ; Marciano, Elio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4974-71a6f56b1dfb8484220fcaaad03bc17103927cb5e0a0452b1b5eed35d280820f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adolescent</topic><topic>Auditory system</topic><topic>Biological and medical sciences</topic><topic>Brain stem</topic><topic>Brain Stem - physiopathology</topic><topic>Caloric Tests</topic><topic>Cardiovascular system</topic><topic>Child</topic><topic>Children</topic><topic>Children & youth</topic><topic>Cohort Studies</topic><topic>Comorbidity</topic><topic>Disability Evaluation</topic><topic>dizziness</topic><topic>Dizziness - diagnosis</topic><topic>Dizziness - epidemiology</topic><topic>Dizziness - physiopathology</topic><topic>Evolution</topic><topic>Female</topic><topic>Headache</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medical treatment</topic><topic>Migraine</topic><topic>Migraine Disorders - epidemiology</topic><topic>Migraine Disorders - physiopathology</topic><topic>Neural Pathways - physiopathology</topic><topic>Neurologic Examination</topic><topic>Neurology</topic><topic>nystagmus</topic><topic>Nystagmus, Pathologic - diagnosis</topic><topic>Nystagmus, Pathologic - epidemiology</topic><topic>Nystagmus, Pathologic - physiopathology</topic><topic>pediatric headache</topic><topic>Pharmacology. Drug treatments</topic><topic>Predictive Value of Tests</topic><topic>Single-Blind Method</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><topic>Vasodilator agents. Cerebral vasodilators</topic><topic>Vertigo</topic><topic>Vertigo - diagnosis</topic><topic>Vertigo - epidemiology</topic><topic>Vertigo - physiopathology</topic><topic>Vestibular Diseases - diagnosis</topic><topic>Vestibular Diseases - epidemiology</topic><topic>Vestibular Diseases - physiopathology</topic><topic>Vestibular Nerve - physiopathology</topic><topic>Vestibular system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Marcelli, Vincenzo</creatorcontrib><creatorcontrib>Furia, Teresa</creatorcontrib><creatorcontrib>Marciano, Elio</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Neurosciences Abstracts</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Headache</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Marcelli, Vincenzo</au><au>Furia, Teresa</au><au>Marciano, Elio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Vestibular Pathways Involvement in Children With Migraine: A Neuro-Otological Study</atitle><jtitle>Headache</jtitle><addtitle>Headache</addtitle><date>2010-01</date><risdate>2010</risdate><volume>50</volume><issue>1</issue><spage>71</spage><epage>76</epage><pages>71-76</pages><issn>0017-8748</issn><eissn>1526-4610</eissn><coden>HEADAE</coden><abstract>(Headache 2010;50:71‐76)
Objective.— To assess, during symptom free intervals, the clinical, audiological, and vestibular findings in a cohort of child migraine sufferers, with or without vertigo or dizziness or both.
Background.— In adults and children, dizziness and vertigo are frequently associated with migraine.
Methods.— Twenty‐two child migraine sufferers with vestibular symptoms, aged 7‐13 years (group A), and 18 child migraine sufferers without vestibular symptoms, aged 8‐13 (group B) entered our study between January 2007 and June 2007. The characteristics of auditory functions and vestibular symptoms and signs were assessed and reviewed by a blinded physician.
Results.— The whole sample was found audiologically normal. In group A, 6 subjects had normal vestibular test results, whereas vestibular testing disclosed either peripheral or central sufferance or both, in the remaining 16 patients (73%). Twelve subjects from group B had normal vestibular test results whereas positive vestibular test results were reported in the remaining 6 subjects (33%).
Conclusions.— This single‐blind work outlines the brain stem abnormalities in children with migraine in the form of direct involvement of peripheral or central vestibular pathways or both. Interestingly, some children with migraine but without vestibular symptoms also had abnormal results at vestibular testing. This could demonstrate a subclinical involvement of vestibular pathways without clinical presentation. The subjects are still being followed up to evaluate the evolution of symptomatology.</abstract><cop>Malden, USA</cop><pub>Blackwell Publishing Inc</pub><pmid>19486179</pmid><doi>10.1111/j.1526-4610.2009.01454.x</doi><tpages>6</tpages></addata></record> |
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subjects | Adolescent Auditory system Biological and medical sciences Brain stem Brain Stem - physiopathology Caloric Tests Cardiovascular system Child Children Children & youth Cohort Studies Comorbidity Disability Evaluation dizziness Dizziness - diagnosis Dizziness - epidemiology Dizziness - physiopathology Evolution Female Headache Humans Male Medical sciences Medical treatment Migraine Migraine Disorders - epidemiology Migraine Disorders - physiopathology Neural Pathways - physiopathology Neurologic Examination Neurology nystagmus Nystagmus, Pathologic - diagnosis Nystagmus, Pathologic - epidemiology Nystagmus, Pathologic - physiopathology pediatric headache Pharmacology. Drug treatments Predictive Value of Tests Single-Blind Method Vascular diseases and vascular malformations of the nervous system Vasodilator agents. Cerebral vasodilators Vertigo Vertigo - diagnosis Vertigo - epidemiology Vertigo - physiopathology Vestibular Diseases - diagnosis Vestibular Diseases - epidemiology Vestibular Diseases - physiopathology Vestibular Nerve - physiopathology Vestibular system |
title | Vestibular Pathways Involvement in Children With Migraine: A Neuro-Otological Study |
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