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Πέμπτη 15 Ιουλίου 2021

Persistent postural perceptual dizziness following paroxysmal positional vertigo in migraine

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Acta Otorhinolaryngol Ital. 2021 Jun;41(3):263-269. doi: 10.14639/0392-100X-N1017.

ABSTRACT

OBJECTIVE: This prospective study aimed to investigate the role of migraine in favouring the onset of persistent postural perceptual dizziness (PPPD) following paroxysmal positional vertigo (PPV).

METHODS: A group of patients who came to our attention suffering of PPV with or without migraine and/or vestibular migraine (VM) was examined. Three months after the resolution, an ana mnestic research was conducted aimed at establishing whether any patient-related dizziness could meet the diagnostic criteria for PPPD.

RESULTS: 12 of the 240 patients recruited met the diagnostic criteria for PPPD for an overall incidence of 5%, with 3 (1.85%) belonging to the non-migraine group and 9 (11.5%) to the migraine group. In the latter, 6 (28.6%) patients with VM and 3 (5.26%) without VM were affected.

CONCLUSIONS: The study shows a significant increase of PPPD diagnosis in migraine compared to patients without migraine (p = 0.003). Within migraine there was a significant increase in those with VM compared to patients without VM (p = 0.0016). No difference emerged between patients without migraine and migraine patients without VM (p > 0.05). The presence of VM in patient's history, but not migraine without VM, appears to significantly increase the incidence of PPPD in patients with PPV.

PMID:34264920 | DOI:10.14639/0392-100X-N1017

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