Migraine and Vertigo.Tinnitus and Hearing loss

YUAN Qing; CHENG Xiuqin; LI Jiang; YU Lisheng; KE Xingxing

doi:10.3969/j.issn.1672-2922.2014.02.14

Abstract：Objective To investigate audiovestibular dysfunctions in cases of migraine. Methods This was a retrospec-tive study involving 321 cases of migraine , with or without audiovestibular dysfunction such as vertigo. tinnitus and hearing loss. Cases were divided into 2 groups based on the presence or absence of vertigo. All patients with auditory symptoms under-went detailed otological and neurootological examinations followed by audiological investigation including pure tone audiome-try and auditory brainstem-evoked responses, as well as tinnitus matching. All patients with vertigo underwent vestibular func-tion test. Results Of the 321 patients, 82 (25.5%) had vertigo, 24 (7.5%) had tinnitus, 9 (2.8%) reported hearing loss, 27 (8.4%) had documented hearing loss on pure tone audiometry, and 29 (9.0%) showed some abnormalities in auditory brain-stem-evoked responses (ABR) in the form of prolonged absolute latency or prolonged interwave peak latencies or both. The dif-ferences in tinnitus and hearing loss between patients with and patients without vertigo were statistically significant. Conclu-sion It can thus be said that patients with migraine with vertigo are more likely to have cochleovestibular affection. This study is another step toward understanding audiovestibular changes in patients with migraine. This has helped us know the effects of migraine on both cochlear and vestibular apparatus, so that a detailed diagnostic evaluation can be undertaken in patients with migraine.