Migraine, Positional Vertigo
Conditions
Keywords
migraine, benign paroxysmal positional vertigo
Brief summary
The aim of this study is to analyze the clinical aspects of patients with BPPV associated with migraine. It is our purpose to clarify weather migraine is a risk factor for BPPV if the clinical aspect and the therapeutic outcome is different.
Detailed description
Two hundred and sixty-three patients with BPPV were enrolled in this retrospective study. All patients' charts were reviewed by independent observer. The type of BPPV and associated problems were noted. Patients with migraine were investigated in terms of age, gender, symptoms, affected side and the cure rate. Their data were compared with those having no migraine. Mean values and standard deviations (± SD) were calculated. One way ANOVA test was used for the analysis. Significance was set at p \< 0.005.
Interventions
PROCEDUREParticle re-positioning maneuver
Patients with posterior canal BPPV (PC-BPPV) were treated with Epley maneuver. Patients with superior canal (SC-BPPV) were treated with Li or reverse Epley maneuver. Patients with lateral canal (LC) apogeotropic or geotropic nystagmus were treated with Barbeque, Semont's or Gufoni maneuvers. If geotropic or ageotropic type nystagmus is equal intensity on both sides. The involved side was determined according to the patient sense of disturbance or lying down positioning test. If the patient has involvement of both sides according to Dix-Hallpike maneuver. Therapeutic maneuver was applied to the more severe side. All patients were re-evaluated at maximum 7 days.
Sponsors
Anadolu Medical Center
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
10 Years to 84 Years
Healthy volunteers
No
Inclusion criteria
* Patients who had history of head-induced positional and brief vertigo and who have been confirmed by VNG were included
Exclusion criteria
* Patients with balance problem other than BPPV, * Patients receiving any medication prior to therapeutic maneuver were excluded
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of patients who had normal vestibular response to provocative tests 7 days after re-positioning maneuver | 7 days | Every patient with BPPV who had positional nystagmus during Dix-Hallpike and head-roll provocative maneuvers will be treated with Epley or barbeque particle re-positioning maneuvers. Balance (positional nystagmus) of patients 7 days after re-positioning maneuvers will be assessed. |
Outcome results
None listed