Association Between Benign Positional Vertigo and Migraine in Indian Population
- PDF / 196,717 Bytes
- 4 Pages / 595.276 x 790.866 pts Page_size
- 95 Downloads / 240 Views
ORIGINAL ARTICLE
Association Between Benign Positional Vertigo and Migraine in Indian Population Ankur Gupta1
•
Ajeet Kumar Kushwaha1 • Kanwar Sen1 • Bhupender Kumar Bajaj2
Received: 28 May 2020 / Accepted: 28 September 2020 Ó Association of Otolaryngologists of India 2020
Abstract Benign positional vertigo (BPV) occurs when freely floating otoconia which are normally attached to the utricular macula, enter the posterior semicircular canal and move under the influence of gravity. It is the most common cause of peripheral vertigo. Migraine is a common headache disorder which is characterized by hemicranial, throbbing pain and may be preceded by aura. The relation between vertigo and migraine is intriguing and in day to day practice, often not clear. 100 diagnosed patients of BPV, aged more than 20 years, were evaluated for presence of headache specifically migraine based on International Headache Classification 3rd Edition, beta version. We also compared the success of epley’s manoeuvre in patients having BPV & headache as compared to patients with complaints of vertigo alone. Overall seventy-four patients had successful epley’s manoeuver and the rest did not show improvement even after four trials. Thirty-four patients reported headache and migraine was diagnosed in only ten patients. 67.6% of patients with headache had
successful epley’s maneuver however fifty-one of the 66 patients without headache had successful epley’s manoeuver. Prevalence of migraine was only 10% in patients with BPV in our population and we observed that presence of headache does not suggest success or failure of epley’s manoeuvre. Keywords Vertigo BPPV Migraine Headache Epley’s Abbreviations BPV Benign positional vertigo DHM DIX Hallpike Maneuver ICHD International Classification of Headache Disorders SPSS Statistical Package for Social Sciences
Introduction The article pertains to the field of neurotology. It reports the association of headache disorders with BPV in Indian population. & Ankur Gupta [email protected] Ajeet Kumar Kushwaha [email protected] Kanwar Sen [email protected] Bhupender Kumar Bajaj [email protected] 1
Department of ENT, ABVIMS & DR RML Hospital, New Delhi, India
2
Department of Neurology, ABVIMS & DR RML Hospital, New Delhi, India
BPV is associated with brief torsional geotropic beating nystagmus in head hanging position [1]. It is commonly seen in elderly people without any apparent cause and is successfully treated with the particle repositioning manoeuvre [1, 2]. Dix and Hallpike originally applied the provocative test generally referred as the Dix Hallpike Maneuover (DHM). Patient with migraine often report dizziness, photophobia and phonophobia [3, 4]. Migrainous vertigo is a frequent cause of recurrent vertigo [5, 6]. Latest classification of migraine is given by International Classification of Headache Disorders (ICHD) which classifies BPV as ‘migraine equivalent’. The spectrum of headache disorders in patients presenting to the vertigo clinic of our ENT department was de
Data Loading...
