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2 results

  • Migraine and benign paroxysmal positional vertigo: a single-institution review

  • M Teixido, A Baker, H Isildak
  • Journal:
    The Journal of Laryngology & Otology / Volume 131 / Issue 6 / June 2017
    Published online by Cambridge University Press:
    02 March 2017, pp. 508-513
    Print publication:
    June 2017
  • Background:

    Benign paroxysmal positional vertigo and migraine-associated dizziness are common. The prevalence of benign paroxysmal positional vertigo seems to be higher in patients with migraine-associated dizziness than in those without migraine.

    Methods:

    A database of 508 patients seen at the primary author's balance clinic was analysed to determine the prevalence of migraine, as defined by International Headache Society criteria, in patients with benign paroxysmal positional vertigo.

    Results:

    The percentage of patients with dizziness or vertigo who met criteria for migraine was 33.7 per cent, with a prevalence of benign paroxysmal positional vertigo of 42.3 per cent. When excluding patients with migrainous vertigo, patients with migraine frequently had benign paroxysmal positional vertigo (66.7 per cent vs 55.8 per cent), although this finding was not statistically significant.

    Conclusion:

    The results for the entire sample suggest that, after excluding patients with migrainous vertigo, patients with migraine seem more likely to have benign paroxysmal positional vertigo; however, this association was not significant, probably because of the small sample size.

  • Chapter 8 - The neuropsychiatry ofpsychosis and headache

  • Edited by Mark W. Green, Philip R. Muskin
  • Book:
    The Neuropsychiatry of Headache
    Published online:
    05 March 2013
    Print publication:
    07 March 2013, pp 75-94

  • Summary

    This chapter presents information on the background, diagnosis, clinical features, pathophysiology, forms, and precipitating factors of migraine. There are three major approaches to the treatment of migraines. It is often useful to view a migraine as a low threshold for the development of headache. There are three major approaches to the treatment of migraines: non-medication therapies; acute treatment; preventive treatment. Evidence-based guidelines support the use of cognitive behavior therapy. Most preventive agents for migraine are associated with weight gain, and this side effect, along with memory loss and depression, are the most common reasons for rejecting a particular agent. The Food and Drug Administration (FDA) in the United States issued an alert in 2006 that there would be a life-threatening risk when triptans were used in individuals taking selective serotonin reuptake inhibitors and selective serotonin/norepinephrine inhibitors.