caso clinico di due pazienti con episodi di vertigine recidivante, ipoacusia fluttuante ed emicrania con buona responsività alla terapia profilattica per l'emicrania. malattia di menière o vertigine emicranica?

Translated title of the contribution: Case reports on two patients with episodic vertigo, fluctuating hearing loss and migraine responding to prophylactic drugs for migraine. Menière's disease or migraine-associated vertigo?

R. Teggi, B. Fabiano, P. Recanati, P. Limardo, M. Bussi

Research output: Contribution to journalArticle

Abstract

Recent reports have focused on a possible association between migraine and Menière's disease; patients suffering from Menière's disease present a higher rate of migraine. In some cases, the clinical features of migraine-associated vertigo may mimic the presentation of Menière's disease. The present report focuses on two cases of females with recurrent episodes of rotational vertigo, fluctuating hearing loss and tinnitus lasting from a few minutes to several hours; both cases also presented migrainous attacks. As a result of repeated cochleovestibular attacks, both patients presented a permanent low frequency sensorineural hearing loss. Preventive therapies for Menière's disease did not reduce vertigo attacks, while topiramate and acetylsalicylic acid treatment resulted in a significant reduction of both migraine and vertigo. Both the diagnosis of Menière's disease and of migraine-associated vertigo rely on clinical history and both disorders lack a specific diagnostic test. In the early stages, differential diagnosis between Menière's disease and migraine-associated vertigo is often very difficult; previous investigations focused on the possibility that subjects with migraine may experience all symptoms of Menière's disease, including sensorineural fluctuating hearing loss. In conclusion, a trial with prophylactic drug treatment for migraine might be suggested in patients with clear symptoms of migraine and recurrent cochleovestibular disorders.

Translated title of the contributionCase reports on two patients with episodic vertigo, fluctuating hearing loss and migraine responding to prophylactic drugs for migraine. Menière's disease or migraine-associated vertigo?
Original languageItalian
Pages (from-to)217-221
Number of pages5
JournalActa Otorhinolaryngologica Italica
Volume30
Issue number4
Publication statusPublished - Aug 2010

ASJC Scopus subject areas

  • Otorhinolaryngology

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