What is the clinical history of headache characteristic of migraine-associated vertigo?

Updated: Jan 18, 2019
  • Author: Aaron G Benson, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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Answer

Answer

Patients may or may not have a history of concurrent migraine headaches. In fact, most patients have dizziness symptoms during headache-free intervals or even numerous years following their last migraine headache. [10] Some patients with migraine-associated vertigo have never experienced a migraine headache but have a family history of migraine.

A study by Teggi et al looked at the clinical characteristics of headaches in patients with migraine-associated vertigo, finding that onset of migraine occurred at age 21.8 years, with the first incidence of vertigo occurring at age 37.4 years. In the 6.8% of patients in whom migraine and vertigo occurred synchronously, both disorders tended to have a lower age of onset. In 79.1% of cases, headaches lasted less than 24 hours, and 25.4% of individuals reported the occurrence of visual or other auras. Migrainous headaches were accompanied by nausea, phonophobia, photophobia, vomiting, and lightheadedness in 79.9%, 54.5%, 53.8%, 29%, and 21.1% of cases, respectively. [23]

The investigators also found that 67.4% of subjects reportedly had first- or second-degree relatives in whom headaches with migrainous features occurred. Familial aggregation was higher than that found in studies on the general migraineur population. [23]


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