Evaluation of video head impulse test during vertiginous attack in vestibular migraine

Copyright © 2022 Società Italiana di Otorinolaringoiatria e Chirurgia Cervico-Facciale, Rome, Italy..

Objective: The aim of this study is to evaluate vestibular functions with video head impulse test (VHIT) and to understand the value of VHIT in differential diagnosis in patients with vestibular migraine (VM) during dizziness attack.

Materials and methods: Two groups were enrolled in this study. The first consisted of 84 vestibular migraine patients, and second group of 74 healthy subjects. VHIT was applied to patients with VM during vertigo attack and the results were compared with the VHIT values applied to subjects in the control group.

Results: The mean vestibulo-ocular reflex (VOR) in all semicircular canals in the VM group was lower than healthy individuals, but the results were not statistically significant. Refixation saccades were found in 52.3% of VM patients and in 10.2% of healthy individuals.

Conclusions: When patients with VM were evaluated with VHIT during vertiginous attack, VOR gain values were not different from healthy individuals, but the number of catch-up saccades were higher in VM patients, which indicates peripheral vestibular involvement. For differential diagnosis in patients with VM, vestibular tests should be performed during the vertigo attack. When evaluating VHIT results, the presence of refixation saccades should also be evaluated.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:42

Enthalten in:

Acta otorhinolaryngologica Italica : organo ufficiale della Societa italiana di otorinolaringologia e chirurgia cervico-facciale - 42(2022), 3 vom: 01. Juni, Seite 281-286

Sprache:

Englisch

Beteiligte Personen:

Koç, Ahmet [VerfasserIn]
Akkılıç, Elvan Cevizci [VerfasserIn]

Links:

Volltext

Themen:

Head impulse test
Journal Article
Migraine
Vertigo

Anmerkungen:

Date Completed 27.07.2022

Date Revised 09.08.2022

published: Print

Citation Status MEDLINE

doi:

10.14639/0392-100X-N1951

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM344002306