Neuro-otological manifestations of migraine - 1984

Hi Richy,

Here’s the paper you were after. Brain has everything in PDF now going back some 40 years. Great!

Vestibulocochlear derangements have been studied in three groups of patients: 200 unselected patients with migraine (Series I), 80 migrainous patients referred because of their symptoms for full neuro-otological examination (Series II), and 116 patients with tension headache who served as controls (Series III). Significant differences were established between tension headache and migraine in respect of incidence and severity of symptoms and their time of onset in relation to the headache. In migraine, vestibulocochlear disturbances can occur as an aura, accompanying the headache or during headache-free periods, the highest incidence occurring during the headache. In Series I, 59 per cent reported vestibular and/or cochlear symptoms and these were of disabling severity in 5 per cent. Significantly, 50 per cent had a history of motion sickness and 81 per cent experienced phonophobia during the headache, the probable mechanism of which is discussed. Persisting vestibulocochlear derangements were found in 77.5 per cent of Series II, largely vestibular and of both central and peripheral origin. Involvement of the vertebrobasilar vascular system appears to be the most likely explanation. Possible links between Ménière’s disease, benign paroxysmal vertigo and migraine are discussed.

Scott 8)

Hi Scott

Thanks for the article. It’s strange that nowhere in the article does it mention unsteadiness or disequilibrium. Was that quote from a different article that you posted before?

Hey Rich – haven’t read through this paper yet but the citation came directly from this fact sheet handed out at Hain’s office.


vestibularcochlear derangement

While this sounds quite psychological and almost offensive (deranged does not bring to mind a pleasant diagnosis), it actually reaches into the realm of disequilibrium and balance disorder. “Derangement” in medical terminology simply means to "Throw (something) into confusion; cause to act irregularly: such as “stress deranges the immune system”.