Res Vestib Sci.  2009 Dec;8(2):122-131.

Clinical Features and Treatment Pattern of Migrainous Vertigo in Korea: A Nationwide Prospective Multicenter Study

Affiliations
  • 1Department of Otorhinolaryngology, Gyeongsang National University Hospital, Jinju, Korea.
  • 2Department of Neurology, Gyeongsang National University Hospital, Jinju, Korea.
  • 3Department of Otorhinolaryngology, Seoul National University Bundang Hospital, Bungdang, Korea.
  • 4Department of Otorhinolaryngology, Inha University Hospital, Incheon, Korea.
  • 5Department of Otorhinolaryngology, Hallym University Hospital, Seoul, Korea.
  • 6Department of Neurology, Eulji University, Eulji Hospital, Seoul, Korea.
  • 7Department of Neurology, Seoul National University Bundang Hospital, Bungdang, Korea.
  • 8Department of Otorhinolaryngology, The Catholic University, Seoul St. Mary's Hospital, Seoul, Korea.
  • 9Best ENT Clinic, Gwangju, Korea.
  • 10Department of Otorhinolaryngology, Konkuk University Hospital, Seoul, Korea.
  • 11Department of Otorhinolaryngology, Kyung Hee University Hospital, Seoul, Korea.
  • 12Department of Otorhinolaryngology, Dankook University Hospital, Cheonan, Korea.
  • 13Department of Neurology, Soonchunhyang University, Bucheon Hospital, Bucheon, Korea.
  • 14Department of Neurology, Chunbuk National University Hospital, Jeonju, Korea.
  • 15Department of Neurology, Chungnam National University Hospital, Daejeon, Korea.
  • 16Department of Otorhinolaryngology, Sungkyunkwan University, Samsung Seoul Hospital, Seoul, Korea.
  • 17Department of Otorhinolaryngology, Korea University Guro Hospital, Seoul, Korea.
  • 18Department of Otorhinolaryngology, Pusan National University Hospital, Busan, Korea. gohek@pusan.ac.kr

Abstract

BACKGROUND AND OBJECTIVES
It is being increasing recognized that the morbidities of migraine and balance disorders are interrelated. In fact, migrainous vertigo (MV) is one of frequent causes of recurrent vertigo in patients presenting to specialized dizziness clinics. Nevertheless, not many studies have reported clinical manifestations and treatment. Therefore, the aim of study was designed to assess clinical features and treatment patterns by a nationwide multicenter study.
MATERIALS AND METHODS
Patients between 9 and 74 years of age who visited 17 Korean tertiary referral centers and 1 clinic from February to March 2009 were investigated using two forms of questionnaires.
RESULTS
Overall, 318 patients with MV were enrolled. MV was responsible for ~8.45% of visits to the specialized dizziness clinics. One hundred seventy-five of these patients had definite MV and were included in assessing the clinical features. Vertigo characteristics of patients with definite MV were various. Vertigo was regularly as sociated with headache in 87% of the patients. The duration of vertigo ranged from seconds to days. For the treatment patterns, an acute and prophylactic therapies were carried in most clinics. There were no differences in either acute or prophylactic therapies between department of neurology and otorhinolaryngology.
CONCLUSIONS
The results of this study suggest that MV the clinical features of MV also varies in Korea. In addition, most clinics provide similar patterns of practice in treatment for MV. The syndrome of MV deserves further research activity as it is relatively common and clinically relevant.

Keyword

Migraine; Vertigo; Clinical feature; Therapy
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