Publication:
Clinical Features, Familial History, and Migraine Precursors in Patients With Definite Vestibular Migraine: The VM-Phenotypes Projects.

dc.contributor.authorTeggi, Roberto
dc.contributor.authorColombo, Bruno
dc.contributor.authorAlbera, Roberto
dc.contributor.authorAsprella Libonati, Giacinto
dc.contributor.authorBalzanelli, Cristiano
dc.contributor.authorBatuecas Caletrio, Angel
dc.contributor.authorCasani, Augusto
dc.contributor.authorEspinoza-Sanchez, Juan Manuel
dc.contributor.authorGamba, Paolo
dc.contributor.authorLopez-Escamez, Jose A
dc.contributor.authorLucisano, Sergio
dc.contributor.authorMandalà, Marco
dc.contributor.authorNeri, Giampiero
dc.contributor.authorNuti, Daniele
dc.contributor.authorPecci, Rudy
dc.contributor.authorRusso, Antonio
dc.contributor.authorMartin-Sanz, Eduardo
dc.contributor.authorSanz, Ricardo
dc.contributor.authorTedeschi, Gioacchino
dc.contributor.authorTorelli, Paola
dc.contributor.authorVannucchi, Paolo
dc.contributor.authorComi, Giancarlo
dc.contributor.authorBussi, Mario
dc.date.accessioned2023-01-25T10:01:46Z
dc.date.available2023-01-25T10:01:46Z
dc.date.issued2017-12-04
dc.description.abstractThe aim of this work was to assess through a questionnaire the features of vertiginous episodes, accompanying symptoms, familial history, and migraine precursors in a sample of 252 subjects with a diagnosis of definite vestibular migraine. Migraine is a common neurological disorder characterized by episodic headaches with specific features. About two-thirds of cases run in families, and patients may refer symptoms occurring in infancy and childhood, defined as episodic syndromes that may be associated with migraine. Migraine is associated with episodic vertigo, called vestibular migraine, whose diagnosis mainly relies on clinical history showing a temporary association of symptoms. In this cross-sectional multicentric study, 252 subjects were recruited in different centers; a senior specialist through a structured questionnaire assessed features of vestibular symptoms and accompanying symptoms. The age of onset of migraine was 23 years, while onset of vertigo was at 38 years. One hundred and eighty-four subjects reported internal vertigo (73%), while 63 subjects (25%) reported external vertigo. The duration of vertigo attacks was less than 5 minutes in 58 subjects (23%), between 6 and 60 minutes in 55 (21.8%), between 1 and 4 hours in 29 (11.5%), 5 and 24 hours in 44 (17.5%), up to 3 days in 14 (5.5%), and more than 3 days in seven (2.8%); 14 subjects (5.5%) referred attacks lasting from less than 5 minutes and up to 1 hour, nine (3.6%) referred attacks lasting from less than 5 minutes and up to 1 to 4 hours, six (2.4%) referred attacks lasting from less than 5 minutes and up to 5 to 24 hours, and five (2%) cases referred attacks lasting from less than 5 minutes and up to days. Among accompanying symptoms, patients referred the following usually occurring, in order of frequency: nausea (59.9%), photophobia (44.4%), phonophobia (38.9%), vomiting (17.8%), palpitations (11.5%), tinnitus (10.7%), fullness of the ear (8.7%), and hearing loss (4%). In total, 177 subjects referred a positive family history of migraine (70.2%), while 167 (66.3%) reported a positive family history of vertigo. In the sample, 69% of patients referred at least one of the pediatric precursors, in particular, 42.8% of subjects referred motion sickness. The age of onset of the first headache was lower in the subsample with a familial history of migraine than in the total sample. Among the pediatric precursors, benign paroxysmal vertigo - BPV, benign paroxysmal torticollis, and motion sickness were predictive of a lower age of onset of vertigo in adulthood; cyclic vomiting was predictive for vomiting during vertigo attacks in adults. Our results may indicate that vestibular symptoms in pediatric patients may act as a predisposing factor to develop vestibular migraine at an earlier age in adulthood.
dc.identifier.doi10.1111/head.13240
dc.identifier.essn1526-4610
dc.identifier.pmid29205326
dc.identifier.unpaywallURLhttps://flore.unifi.it/bitstream/2158/1144715/1/teggi2017.pdf
dc.identifier.urihttp://hdl.handle.net/10668/11873
dc.issue.number4
dc.journal.titleHeadache
dc.journal.titleabbreviationHeadache
dc.language.isoen
dc.organizationHospital Universitario Virgen de las Nieves
dc.organizationCentro Pfizer-Universidad de Granada-Junta de Andalucía de Genómica e Investigación Oncológica-GENYO
dc.organizationArea de Gestión Sanitaria Norte de Jaén
dc.organizationAGS - Norte de Jaén
dc.page.number534-544
dc.pubmedtypeJournal Article
dc.pubmedtypeMulticenter Study
dc.rights.accessRightsopen access
dc.subjectclinical diagnosis
dc.subjectheadache
dc.subjectmigraine
dc.subjectvertigo
dc.subjectvestibular disorders
dc.subjectvestibular migraine
dc.subject.meshAdult
dc.subject.meshAge of Onset
dc.subject.meshAged
dc.subject.meshCross-Sectional Studies
dc.subject.meshFemale
dc.subject.meshHumans
dc.subject.meshItaly
dc.subject.meshMale
dc.subject.meshMiddle Aged
dc.subject.meshMigraine Disorders
dc.subject.meshSpain
dc.subject.meshVertigo
dc.subject.meshYoung Adult
dc.titleClinical Features, Familial History, and Migraine Precursors in Patients With Definite Vestibular Migraine: The VM-Phenotypes Projects.
dc.typeresearch article
dc.type.hasVersionSMUR
dc.volume.number58
dspace.entity.typePublication

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