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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Veröffentlicht in:Headache 2010-01, Vol.50 (1), p.71-76
Hauptverfasser: Marcelli, Vincenzo, Furia, Teresa, Marciano, Elio
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Marciano, Elio
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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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 &amp; 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. 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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 &amp; 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 &amp; 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 &amp; 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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source MEDLINE; Wiley Online Library Journals Frontfile Complete
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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