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Clinical criteria of positional vertical nystagmus in vestibular migraine.

Identifieur interne : 000110 ( Main/Corpus ); précédent : 000109; suivant : 000111

Clinical criteria of positional vertical nystagmus in vestibular migraine.

Auteurs : Mohamed Mohamed El-Badry ; Hesham Samy ; Abdel Mageed Kabel ; Fatma Mohamed Rafat ; Hossam Sanyelbhaa

Source :

RBID : pubmed:28446038

English descriptors

Abstract

OBJECTIVES

The goal of this study was to identify key diagnostic criteria for positional vertical nystagmus caused by vestibular migraine (VM).

MATERIALS AND METHODS

The study group included a case series of 13 subjects with VM (10 females and three males with age 38.6 ± 8.9 years); they were complaining of positional vertigo. They were subjected to thorough audiovestibular examination and treated with cinnarizine or topiramate Results: The entire study group demonstrated positional vertical nystagmus (eight patients had up-beating nystagmus and five patients had down-beating nystagmus). The vertigo and nystagmus were elicited in one or more of the following positions: the right & left Dix-Hallpike, supine with head center, head right, and head left positions. The nystagmus had no latency period. It was persistent, non-fatigable and markedly reduced by visual fixation. Prophylactic therapy of VM (topiramate or cinnarizine) cured the positional vertigo in 92% of the study group. Neither the positional vertigo nor the nystagmus recurred in a 3-6 months follow-up period.

CONCLUSIONS

VM can induce characteristic form of vertical positional nystagmus and vertigo, which would be treated by medications used for controlling the VM.


DOI: 10.1080/00016489.2017.1318220
PubMed: 28446038

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pubmed:28446038

Le document en format XML

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<nlm:affiliation>a Faculty of Medicine, Audio-Vestibular Unit , Minia University , Almenia , Egypt.</nlm:affiliation>
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<term>Migraine Disorders (complications)</term>
<term>Nystagmus, Pathologic (diagnosis)</term>
<term>Nystagmus, Pathologic (etiology)</term>
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<b>OBJECTIVES</b>
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<b>MATERIALS AND METHODS</b>
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<p>The study group included a case series of 13 subjects with VM (10 females and three males with age 38.6 ± 8.9 years); they were complaining of positional vertigo. They were subjected to thorough audiovestibular examination and treated with cinnarizine or topiramate Results: The entire study group demonstrated positional vertical nystagmus (eight patients had up-beating nystagmus and five patients had down-beating nystagmus). The vertigo and nystagmus were elicited in one or more of the following positions: the right & left Dix-Hallpike, supine with head center, head right, and head left positions. The nystagmus had no latency period. It was persistent, non-fatigable and markedly reduced by visual fixation. Prophylactic therapy of VM (topiramate or cinnarizine) cured the positional vertigo in 92% of the study group. Neither the positional vertigo nor the nystagmus recurred in a 3-6 months follow-up period.</p>
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<b>CONCLUSIONS</b>
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<p>VM can induce characteristic form of vertical positional nystagmus and vertigo, which would be treated by medications used for controlling the VM.</p>
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