title: Migraine and benign paroxysmal positional vertigo: an outcome study of 476 patients.
abstract: To investigate whether migraine is more common in patients with benign paroxysmal positional vertigo (BPPV) than in the general population, the author conducted a retrospective study of 476 patients with BPPV seen over 12 years at a tertiary referral center. Records of patients with a confirmed diagnosis of BPPV followed for 1 to 7 years were reviewed. The typical history of BPPV and the characteristic torsional positional nystagmus were identified in all patients. A modified Epley maneuver was performed for all patients with posterior semicircular canal BPPV, with a 98% success rate. The survey consisted of detailed patient questionnaires and vestibular tests. Migraine and motion sickness were three times more common in patients with BPPV than in the general population. A family history of migraine (58.4%) and vertigo (44.9%) was also more common in patients than in a control group.
authors.affiliation: Neurotology and Balance Center, Institute of Neurologic Sciences, Marmara University, Istanbul, Turkey. cuneri@superonline.com
authors.forename: Alev
authors.initials: A
authors.lastname: Uneri
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016022:Case-Control Studies; D002648:Child; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D008875:Middle Aged; D008881:Migraine Disorders / Q000150:complications / Q000453:epidemiology*; D009760:Nystagmus, Physiologic; D017063:Outcome Assessment, Health Care; D012189:Retrospective Studies; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014421:Turkey / Q000453:epidemiology; D014717:Vertigo / Q000453:epidemiology* / Q000209:etiology