Migraine is a complex disorder with many different manifestations. There has been an increasing interest in the association of migraine and vertigo. Many different terms have been developed to describe this concept, the more popular being vestibular migraine, migrainous vertigo, and migraine-associated vertigo. The most commonly cited diagnostic criteria are that of Neuhauser though this has yet to be included in the International Classification of Headache Disorders (2nd edition). At this time, there is a lack of consensus regarding migraine-related vertigo and its pathomechanism. Regardless, a few randomized controlled prospective studies have been performed to evaluate the efficacy of various medications. Topiramate has been shown to be effective for migraine-related vertigo. At this time there is no specific treatment for migraine-related dizziness outside of conventional migraine management. The genetics have yet to be fully realized though an autosomal dominant familial migraine vertigo disorder has been identified.
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Development and verification of a nomogram for recurrence risk of Benign Paroxysmal Positional Vertigo in middle-aged and older populations.
Front Neurol
December 2024
Department of Neurology, First Hospital of Changsha, Changsha, China.
Background: Benign Paroxysmal Positional Vertigo (BPPV) is the most common cause of peripheral vertigo, with frequent recurrence, particularly pronounced among middle-aged and elderly populations, significantly affecting patients' quality of life. This study aimed to identify predictive factors for recurrence in middle-aged and older patients with BPPV and to develop a nomogram prediction model based on these predictors.
Methods: This retrospective study included 582 participants aged ≥45 years who were selected from the electronic medical records system of the First Hospital of Changsha between March 2021 and March 2024.
Development and Validation of a Machine Learning Model for Detection and Classification of Vertigo.
Laryngoscope
December 2024
Department of Otolaryngology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Article Synopsis
- This study explores the use of artificial intelligence to enhance the diagnostic accuracy of diseases related to vertigo, focusing on two main tasks involving classification of BPPV and non-BPPV patients.
- Leveraging machine learning, specifically the XGBoost model, the researchers achieved high sensitivity and accuracy rates in distinguishing between various vertigo conditions in a cohort of nearly 3,000 patients.
- The findings suggest that implementing such AI systems can significantly improve diagnostic processes and aid clinical decision-making, especially in settings with limited resources.
Dissecting the Circadian Clock and Toll-like Receptor Gene Alterations in Meniere's Disease and Vestibular Migraine.
Otolaryngol Head Neck Surg
December 2024
Department of Otolaryngology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Article Synopsis
- The study aims to explore changes in circadian clock and Toll-like receptor gene expressions in blood cells of patients with Meniere's disease (MD) and vestibular migraine (VM) to see if these differences can help in distinguishing between the two conditions.
- The research includes 69 participants, comparing blood samples from those with MD and VM during vertigo episodes to healthy controls, revealing significant differences in gene expression, particularly involving the PER and TLR genes.
- Findings suggest that there are distinct genetic markers linked to MD and VM, which may aid in understanding their different underlying causes and provide potential biomarkers for diagnosis.
Introduction: The Efferent Vestibular System (EVS) originates in brainstem Efferent Vestibular Nuclei (EVN) and modifies afferent vestibular signals at their source, in peripheral vestibular organs. Recent evidence suggests that EVS is also involved in the development of motion sickness symptoms, including vertigo and nausea, but the underlying mechanism is unknown. One possible link between EVN and motion sickness symptoms is through the neuropeptide calcitonin gene-related peptide (CGRP).
View Article and Find Full Text PDFThe Distribution and Therapeutic Effectiveness of Clinical Unilateral Ménière's Disease Phenotypes.
Clin Otolaryngol
December 2024
Department of Otorhinolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha, Hunan, China.
Objectives: The first purpose of this study was to ascertain the distribution of unilateral Ménière's disease (MD) clinical subgroups in China and compare with the population reported in Europe and the United States. The second purpose was to investigate the effectiveness in different clinical phenotypes.
Methods: Participants were categorised into one of five subtypes using a previously reported classification scheme based on cluster analysis.
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