Dizziness, migrainous vertigo and psychiatric disorders

R. Teggi, D. Caldirola, B. Colombo, G. Perna, G. Comi, L. Bellodi, M. Bussi

Research output: Contribution to journalArticle

Abstract

Objectives: This study sought to establish the prevalence of vestibular disorders, migraine and definite migrainous vertigo in patients with psychiatric disorders who were referred for treatment of dizziness, without a lifetime history of vertigo.Study design: Retrospective study. Setting: Out-patients in a university hospital. Materials and methods: Fifty-two dizzy patients with panic disorders and agoraphobia, 30 with panic disorders without agoraphobia, and 20 with depressive disorders underwent otoneurological screening with bithermal caloric stimulation. The prevalence of migraine and migrainous vertigo was assessed. The level of dizziness was evaluated using the Dizziness Handicap Inventory. Results: Dizzy patients with panic disorders and agoraphobia had a significantly p=0.05 regarding the prevalence of peripheral vestibular abnormalities in the group of subjects with PD and agoraphobia and in those with depressive disorders. Migraine was equally represented in the three groups, but panic disorder patients had a higher prevalence of migrainous vertigo definite migrainous vertigo. Almost all patients with a peripheral vestibular disorder had a final diagnosis of definite migrainous vertigo according to Neuhauser criteria. These patients had higher Dizziness Handicap Inventory scores. The Dizziness Handicap Inventory total score was higher in the subgroup of patients with panic disorders with agoraphobia also presenting unilateral reduced caloric responses or definite migrainous vertigo, compared with the subgroup of remaining subjects with panic disorders with agoraphobia (p

Original languageEnglish
Pages (from-to)285-290
Number of pages6
JournalJournal of Laryngology and Otology
Volume124
Issue number3
DOIs
Publication statusPublished - Mar 2010

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Keywords

  • Migraine
  • Psychiatric disorders
  • Vertigo
  • Vestibular disorders

ASJC Scopus subject areas

  • Otorhinolaryngology

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