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Oculo-vestibular signs in experimentally induced migraine attacks: an exploratory analysis. | LitMetric

AI Article Synopsis

  • Vestibular symptoms are commonly experienced by migraine patients, leading to the classification of vestibular migraine as a potential subtype that requires further research.
  • This study explored the occurrence of oculo-vestibular signs (OVSs) in migraine patients versus healthy controls after inducing migraine-like attacks with nitroglycerin.
  • Results showed that some migraine patients exhibited OVSs after the induced attacks, while none of the healthy subjects did, suggesting a need for more focused studies on vestibular dysfunction in migraines.

Article Abstract

Vestibular symptoms accompanying headache are quite common in migraine patients. Based on the association of vertigo with migraine, vestibular migraine was included in the appendix of the 3rd edition of the International Classification of Headache Disorders as a possible migraine subtype worthy of further investigation. In this post hoc, exploratory analysis, we investigated the occurrence of oculo-vestibular signs (OVSs) during experimentally induced migraine attacks in 24 episodic migraine patients and 19 healthy controls exposed to sublingual nitroglycerin (NTG - 0.9 mg). A comprehensive clinical examination was performed at baseline, at the onset of the migraine-like attack, and immediately before hospital discharge (180 minutes after NTG administration). Three of the 13 migraine patients who developed a spontaneous-like migraine attack during the hospital observation period (23.1%) also developed OVSs during the induction test. Noteworthy, none of the patients with a negative induction test developed OVSs and no OVSs were reported in healthy subjects at any time point. The exploratory nature of our study does not allow to draw definite conclusions on the possible implications of a vestibular dysfunction in migraine pathophysiology. Our results however suggest that NTG administration may lend itself to investigate vestibular dysfunction in migraine, at least in a subset of patients. The present findings represent a starting point for designing future ad hoc and well-powered studies.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9616776PMC
http://dx.doi.org/10.1007/s10072-022-06312-4DOI Listing

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