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

16 Citations (Scopus)

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.

Original languageItalian
Pages (from-to)217-221
Number of pages5
JournalActa Otorhinolaryngologica Italica
Volume30
Issue number4
Publication statusPublished - Aug 2010

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Vertigo
Migraine Disorders
Hearing Loss
Pharmaceutical Preparations
Sensorineural Hearing Loss
Tinnitus
Routine Diagnostic Tests
Aspirin
Differential Diagnosis
Therapeutics

ASJC Scopus subject areas

  • Otorhinolaryngology

Cite this

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title = "caso clinico di due pazienti con episodi di vertigine recidivante, ipoacusia fluttuante ed emicrania con buona responsivit{\`a} alla terapia profilattica per l'emicrania. malattia di meni{\`e}re o vertigine emicranica?",
abstract = "Recent reports have focused on a possible association between migraine and Meni{\`e}re's disease; patients suffering from Meni{\`e}re's disease present a higher rate of migraine. In some cases, the clinical features of migraine-associated vertigo may mimic the presentation of Meni{\`e}re'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 Meni{\`e}re'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 Meni{\`e}re'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 Meni{\`e}re'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 Meni{\`e}re'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.",
keywords = "Meni{\`e}re's disease, Migraine, Migraine-associated vertigo, Sensorineural hearing loss, Vertigo",
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AU - Limardo, P.

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AB - 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.

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