The clinical characteristics and audiogram in 103 Meniere's disease patients with and without vestibular migraine

Background:

Meniere Disease (MD) and Vestibular Migraine (VM) are the most common spontaneous paroxysmal vertigo diseases. Various studies have suggested that there is a close relation between MD and VM, they can co-exist. The aim of this study is to Compare and analyze the clinical characteristics and hearing thresholds among MD patients who had VM, MD patients who were probable to have VM and MD patients who did not have VM.

Method:

We designed a detailed questionnaire based on the diagnosis criteria of MD and VM, which contained information relating to demographic characteristics, clinical features and audiogram. All patients were diagnosed according to the diagnosis criterion of Meniere's disease revised in AAO-HNS committee in 1995 and vestibular migraine revised by Barany Society, together with the International Headache Society in 2012.

Results:

In all, one hundred and seventy two patients, only 103 patients were diagnosed of MD. A total of 48 of the 103 MD (overall prevalence 46.6%) patients have also diagnosed with VM. Eighteen MD patients were diagnosed with probable VM and 37 MD patients had been diagnosed without VM. Among these one hundred and three patients with MD, the average frequency of vertigo attacks within a month was 1.6 in MD patients without VM, 4 in MD patients with probable VM and 7.1 in MD patients with VM. And we found the sex was significantly associated with the presence of VM.

Conclusion:

We suggest that MD patients with VM have better hearing and more frequent vertigo attacks than those without VM. The monthly frequency of vertigo attacks could be a diagnosis indicator to screen the MD patients with or without VM, and frequent attacks of VM might alleviate the endolymphatic hydrops in pathophysiologic mechanism.

Professor, MD, PhD Lisheng Yu

Peking University People's Hospital,

No. 11, South Street, Xizhimen, Xicheng District, 100044

Beijing, P.R.China

eMail: [e-mail]

Publikationsverlauf

Publikationsdatum:
23. April 2019 (online)