Document Detail


Sensory dysmodulation in vestibular migraine: an otoacoustic emission suppression study.
MedLine Citation:
PMID:  20641078     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVES/HYPOTHESIS: To seek evidence of sensory dysmodulation in auditory brainstem reflexes in patients with vestibular migraine by studying suppression of otoacoustic emissions (OAEs) by contralateral noise. STUDY DESIGN: A prospective case-control study. METHODS: The authors measured contralateral suppression of OAEs in a group of 33 interictal patients with definite vestibular migraine (migrainous vertigo) according to the strict diagnostic criteria of Neuhauser (2001), and compared them with 31 nonmigrainous controls with matching age and sex distributions. Suppression values were then compared with previously published departmental normative data. In three patients, recordings were compared in the ictal and interictal states. RESULTS: OAE suppression was reduced in 11/33 patients, and 3/31 controls (P = .022 chi(2) test). Binary logistic regression analysis confirmed that the presence of vestibular migraine was significantly associated with abnormal suppression, but no such relationship was seen for symptoms of phonophobia or disease duration. The amplitude of variability between the ictal and interictal state was out of the normal range in 2 out of the 3 patients in whom such recordings were made. CONCLUSIONS: These results provide support for the notion of interictal auditory sensory dysmodulation in an as yet unidentified subset of migraineurs with vestibular migraine.
Authors:
Louisa Murdin; Presanna Premachandra; Rosalyn Davies
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Laryngoscope     Volume:  120     ISSN:  1531-4995     ISO Abbreviation:  Laryngoscope     Publication Date:  2010 Aug 
Date Detail:
Created Date:  2010-07-28     Completed Date:  2010-08-16     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8607378     Medline TA:  Laryngoscope     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1632-6     Citation Subset:  IM    
Affiliation:
Department of Neuro-otology, National Hospital for Neurology and Neurosurgery, Queen Square, London, UK. louisa@murdin.com
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MeSH Terms
Descriptor/Qualifier:
Adult
Case-Control Studies
Evoked Potentials, Auditory, Brain Stem
Female
Humans
Male
Migraine Disorders / complications,  physiopathology*
Otoacoustic Emissions, Spontaneous*
Prospective Studies
Sensation Disorders / physiopathology*
Vertigo / etiology,  physiopathology

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


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