What is the role of migraine headache in the etiology of benign paroxysmal positional vertigo (BPPV)?

Updated: Mar 13, 2020
  • Author: John C Li, MD; Chief Editor: Arlen D Meyers, MD, MBA  more...
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A retrospective study by Faralli et al indicated that in persons with migraine headache and BPPV, the onset of BPPV tends to occur earlier in life than it does in patients with this form of vertigo but no migraine. The investigators found that the mean age at BPPV onset for patients with migraine was 39 years, compared with 53 years for patients without migraine. In addition, highly recurrent BPPV was found in 19.4% of the migraine patients, compared with 7.3% of persons without migraine. Moreover, the frequency of atypical eye movements and Ménière-like vertigo was greater in patients with both migraine and highly recurrent BPPV. Faralli and colleagues stated, however, that it has not yet been determined whether a direct pathophysiologic association exists between migraine and BPPV. [6]

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