1. Vestibular and oculomotor function in patients with vestibular migraine
- Author
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Feng He, Wei Fu, Ya Bai, Junliang Han, Yuanyuan Wang, Dong Wei, and Xiaoming Wang
- Subjects
Adult ,Male ,medicine.medical_specialty ,Time Factors ,Migraine Disorders ,Vestibular evoked myogenic potential ,Audiology ,Vestibular migraine ,Young Adult ,Oculomotor Nerve ,Caloric Tests ,otorhinolaryngologic diseases ,medicine ,Humans ,Videonystagmography ,In patient ,Head Impulse Test ,Aged ,Vestibular system ,medicine.diagnostic_test ,business.industry ,Head impulse test ,Middle Aged ,Vestibular Function Tests ,Oculomotor function ,Vestibular Evoked Myogenic Potentials ,Treatment Outcome ,Otorhinolaryngology ,Female ,Vestibule, Labyrinth ,sense organs ,business ,Vestibular testing ,Follow-Up Studies - Abstract
The purpose of this study was to assess the vestibular and oculomotor function in patients with vestibular migraine (VM). And we also investigate the relationship between testing results and effectiveness of preventive medications in VM.41 patients with VM were recruited in this study and examined with cervical and ocular vestibular evoked myogenic potential(cVEMP, oVEMP), video head impulse test(vHIT), caloric test and videonystagmography. All patients were treated with preventive medications. We calculated symptomatic improvement and record episodes frequency in patients with VM. Six months later, the effectiveness of preventive medications were evaluated and the relationship between vestibular testing and effectiveness of preventive medications were analyzed further.In vestibular function testing, 73% of patients with VM showed abnormal results. Abnormal cVEMP, oVEMP, vHIT, and caloric test were found in 20%, 44%, 32% and 56% respectively. The abnormal rate of oVEMP was significantly higher than that of cVEMP(p 0.05). And the proportion of abnormal caloric test was obviously higher than that of vHIT (p 0.05). In oculomotor function testing, 42% of the patients with VM showed pathological results which was significantly lower than that of vestibular function testing(p 0.05). After 6 months follow-up, the proportion of prophylactic medication effectiveness was significantly higher in normal vestibular function testing group compared with the abnormal group (p 0.05).Abnormal vestibular and oculomotor functions are commonly observed in patients with VM. And these patients with abnormal vestibular function possess a weak effectiveness of preventive medications.
- Published
- 2021
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