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Temporal Patterns of Vertigo and Migraine in Vestibular Migraine
Vestibular migraine (VM) is a multidisciplinary disease under exploration. Multiple temporal patterns of vertigo and migraine make it difficult to diagnose VM, and their effect on the clinical features of VM is still unclear. Here we investigated the clinical features of VM under three temporal patt...
Autores principales: | , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7175799/ https://www.ncbi.nlm.nih.gov/pubmed/32351358 http://dx.doi.org/10.3389/fnins.2020.00341 |
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author | Yan, Manyun Guo, Xiaoning Liu, Wei Lu, Jiajie Wang, Jingwen Hu, Lan Xia, Kaijian Ni, Jianqiang Lu, Haifeng Zhao, Hongru |
author_facet | Yan, Manyun Guo, Xiaoning Liu, Wei Lu, Jiajie Wang, Jingwen Hu, Lan Xia, Kaijian Ni, Jianqiang Lu, Haifeng Zhao, Hongru |
author_sort | Yan, Manyun |
collection | PubMed |
description | Vestibular migraine (VM) is a multidisciplinary disease under exploration. Multiple temporal patterns of vertigo and migraine make it difficult to diagnose VM, and their effect on the clinical features of VM is still unclear. Here we investigated the clinical features of VM under three temporal patterns. 172 VM patients were enrolled in this study and divided into three groups: 86 patients in group A had an earlier onset of migraine than vertigo, 35 patients in group B had an earlier onset of vertigo than migraine, and 51 patients in group C had concurrent vertigo and migraine. No significant difference was found among three groups regarding types, intensity and accompanying symptoms of the vestibular attack. Patients in group C presented higher frequency and longer duration of vertigo than group A and B, while patients in group A presented lower frequency and shorter duration of headaches than group B and C. Additionally, the frequency, duration, intensity and accompanying symptoms of headache in group A decreased significantly after the onset of vertigo, especially in women around menopause. We hypothesized that vestibular stimulation could inhibit the trigeminal pain pathway, while painful trigeminal stimulation could excite the vestibular system. Our findings may contribute to the clinical identification of VM and further clarification of its pathogenesis. |
format | Online Article Text |
id | pubmed-7175799 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-71757992020-04-29 Temporal Patterns of Vertigo and Migraine in Vestibular Migraine Yan, Manyun Guo, Xiaoning Liu, Wei Lu, Jiajie Wang, Jingwen Hu, Lan Xia, Kaijian Ni, Jianqiang Lu, Haifeng Zhao, Hongru Front Neurosci Neuroscience Vestibular migraine (VM) is a multidisciplinary disease under exploration. Multiple temporal patterns of vertigo and migraine make it difficult to diagnose VM, and their effect on the clinical features of VM is still unclear. Here we investigated the clinical features of VM under three temporal patterns. 172 VM patients were enrolled in this study and divided into three groups: 86 patients in group A had an earlier onset of migraine than vertigo, 35 patients in group B had an earlier onset of vertigo than migraine, and 51 patients in group C had concurrent vertigo and migraine. No significant difference was found among three groups regarding types, intensity and accompanying symptoms of the vestibular attack. Patients in group C presented higher frequency and longer duration of vertigo than group A and B, while patients in group A presented lower frequency and shorter duration of headaches than group B and C. Additionally, the frequency, duration, intensity and accompanying symptoms of headache in group A decreased significantly after the onset of vertigo, especially in women around menopause. We hypothesized that vestibular stimulation could inhibit the trigeminal pain pathway, while painful trigeminal stimulation could excite the vestibular system. Our findings may contribute to the clinical identification of VM and further clarification of its pathogenesis. Frontiers Media S.A. 2020-04-15 /pmc/articles/PMC7175799/ /pubmed/32351358 http://dx.doi.org/10.3389/fnins.2020.00341 Text en Copyright © 2020 Yan, Guo, Liu, Lu, Wang, Hu, Xia, Ni, Lu and Zhao. http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Neuroscience Yan, Manyun Guo, Xiaoning Liu, Wei Lu, Jiajie Wang, Jingwen Hu, Lan Xia, Kaijian Ni, Jianqiang Lu, Haifeng Zhao, Hongru Temporal Patterns of Vertigo and Migraine in Vestibular Migraine |
title | Temporal Patterns of Vertigo and Migraine in Vestibular Migraine |
title_full | Temporal Patterns of Vertigo and Migraine in Vestibular Migraine |
title_fullStr | Temporal Patterns of Vertigo and Migraine in Vestibular Migraine |
title_full_unstemmed | Temporal Patterns of Vertigo and Migraine in Vestibular Migraine |
title_short | Temporal Patterns of Vertigo and Migraine in Vestibular Migraine |
title_sort | temporal patterns of vertigo and migraine in vestibular migraine |
topic | Neuroscience |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7175799/ https://www.ncbi.nlm.nih.gov/pubmed/32351358 http://dx.doi.org/10.3389/fnins.2020.00341 |
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