Vestibulo-ocular reflex abnormalities in patients with migraine.
OBJECTIVE
To investigate the high-frequency vestibulo-ocular reflex (VOR) in patients with migraine, with and without dizziness and aura.


BACKGROUND
Migraine is a common cause of dizziness. Although many vestibular testing abnormalities have been documented in migraine patients, high-frequency VOR abnormalities have not been reported.


METHODS
Thirty-nine consecutive patients with migraine were studied with the vestibular autorotation test (VAT). The patients were subclassified as having migraine headache only, migraine with visual aura, migraine with dizziness, or migraine with visual aura and dizziness.


RESULTS
Only a high vertical phase in the 4 to 5 Hz range was correlated with migraine (correlation coefficients: .356, P=.03). Further analysis revealed that an abnormal 4 to 5 Hz vertical phase result also was positively correlated with migraine with aura and dizziness (correlation coefficients: .392).


CONCLUSIONS
The results suggest that patients with migraine may have an abnormal vertical VOR at higher head movement frequencies. Migraine patients with visual aura and dizziness are even more likely to have this abnormality.
Helm
Melvin R
MR
California Headache & Balance Center, Fresno, CA 93720, USA.
D000328:Adult; D004244:Dizziness / Q000150:complications / Q000503:physiopathology*; D005260:Female; D006801:Humans; D008297:Male; D008881:Migraine Disorders / Q000150:complications / Q000503:physiopathology*; D020325:Migraine with Aura / Q000150:complications / Q000503:physiopathology*; D012021:Reflex, Abnormal / Q000502:physiology*; D012027:Reflex, Vestibulo-Ocular / Q000502:physiology*; D012399:Rotation