Evolution of migraine vertigo in overlapping syndrome with Ménière's disease: prognostic role of instrumental examination

xlomafota13 shared this article with you from Inoreader Evolution of migraine vertigo in overlapping syndrome with Ménière's disease: prognostic role of instrumental examination Via Acta Otorhinolaryngol Ital Acta Otorhinolaryngol Ital. 2021 Apr;41(2):180-184. doi: 10.14639/0392-100X-N0752. ABSTRACT INTRODUCTION: Migraine vertigo (MV) and Ménière's disease (MD) share several signs and symptoms such as tinnitus, fullness, photophobia, phonophobia, headache and vertigo spells lasting hours. OBJECTIVE: The aim of the present study was to prospectively observe patients with MV with a sporadic audiological symptom evaluated with clinical examination, Vestibular Evoked Myogenic P otentials (VEMPs), ECochG and v-HIT. RESULTS: The finding of VEMP asymmetry, according to our cut-off of 33% of difference between sides, resulted in 20 cases, of which 6 had asymmetry of both c-VEMPs and o-VEMPS, all with development of fluctuating hearing during follow-up. ECochG was positive for endolymphatic hydrops in 12 patients. CONCLUSIONS: The evolution of MV may have a variable course in which some patients may develop symptoms typical of MD. The two diseases may be contextually present at the same time configuring an overlapping syndrome, and asymmetric VEMPs might predict development of fluctuating hearing. PMID:34028464 | DOI:10.14639/0392-100X-N0752 View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.