| Diagnosis of migrainous vertigo: validity of a structured interview. | |
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MedLine Citation:
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PMID: 15114269 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Dawn A Marcus; Cindy Kapelewski; Thomas E Rudy; Rolf G Jacob; Joseph M Furman |
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Publication Detail:
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Type: Journal Article; Research Support, Non-U.S. Gov't Date: 2004-04-28 |
Journal Detail:
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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:
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Created Date: 2004-05-05 Completed Date: 2004-07-02 Revised Date: 2007-11-15 |
Medline Journal Info:
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Nlm Unique ID: 9609063 Medline TA: Med Sci Monit Country: Poland |
Other Details:
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Languages: eng Pagination: CR197-201 Citation Subset: IM |
Affiliation:
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Department of Anesthesiology & Critical Care Medicine, University of Pittsburgh School of Medicine, PA, USA. MarcusD@anes.upmc.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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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
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