Document Detail


Diagnosis of migrainous vertigo: validity of a structured interview.
MedLine Citation:
PMID:  15114269     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Migraine and vestibular symptoms are co-morbid. Migraine is increasingly recognized as a cause of benign, recurrent vertigo. Although the International Headache Society does not currently include the diagnosis of migrainous vertigo, specific criteria have been proposed and utilized in clinical trials. MATERIAL/METHODS: Seventeen adult migraineurs were separately screened for the diagnosis of migrainous vertigo using a standardized structured interview for migrainous vertigo (SIM-V) and a clinical evaluation by an experienced neurotologist. The SIM-V was administered by a nurse who read and recorded subject responses, obtaining no additional information for the diagnosis of migrainous vertigo. Comparison of diagnoses between clinician and SIM-V was made using Cohen's kappa reliability testing. Subjects were asked to return for a second interview by the same nurse using the SIM-V, at least 2 weeks after the initial assessment. Testing stability was evaluated by comparing diagnoses obtained with each SIM-V administration. RESULTS: Cohen's kappa demonstrated excellent test validity (kappa=0.75). Fourteen subjects returned for repeat testing, with excellent retest stability (kappa=0.85). The additional three subjects could not be relocated or were not interested in attending a retest appointment. CONCLUSIONS: The SIM-V is an easy-to-administer screening tool for the diagnosis of migrainous vertigo. Diagnostic comparison to a standard clinical assessment shows good test validity. Retest stability was also demonstrated. The SIM-V may be a useful screening tool for migraineurs with an additional complaint of dizziness.
Authors:
Dawn A Marcus; Cindy Kapelewski; Thomas E Rudy; Rolf G Jacob; Joseph M Furman
Related Documents :
16874589 - Reproducibility of performance in three types of training test in swimming.
11771629 - Wais-iii reliability data for clinical groups.
18833309 - Reliability limits of the modified thomas test for assessing rectus femoris muscle flex...
1785029 - Standardization of grip strength measurements. effects on repeatability and peak force.
1746289 - Reliability and validity of the chinese versions of the scales for assessment of positi...
18327019 - Development of a standardized scoring method for the graphic sequence test suitable for...
13573119 - The intradermal test in the diagnosis of bilharziasis.
15789979 - Clinical comparison of a new manual toothbrush on breath volatile sulfur compounds.
15047079 - Testing the internal consistency of the standard gamble in 'success' and 'failure' frames.
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't     Date:  2004-04-28
Journal Detail:
Title:  Medical science monitor : international medical journal of experimental and clinical research     Volume:  10     ISSN:  1234-1010     ISO Abbreviation:  Med. Sci. Monit.     Publication Date:  2004 May 
Date Detail:
Created Date:  2004-05-05     Completed Date:  2004-07-02     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9609063     Medline TA:  Med Sci Monit     Country:  Poland    
Other Details:
Languages:  eng     Pagination:  CR197-201     Citation Subset:  IM    
Affiliation:
Department of Anesthesiology & Critical Care Medicine, University of Pittsburgh School of Medicine, PA, USA. MarcusD@anes.upmc.edu
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Dizziness
Female
Headache
Humans
Interviews as Topic
Male
Mass Screening
Migraine Disorders / diagnosis*
Questionnaires
Reproducibility of Results
Vertigo / diagnosis*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Seasonal variation in the occurrence of deep vein thrombosis.
Next Document:  Duration of Raynaud's phenomenon is negatively correlated with serum levels of interleukin 10 (IL-10...