Abstract Details

Title Evaluation of Balance in Vestibular Migraine and Migraine Patients without History of Vertigo

Topic Neuro-ophthalmology/Neuro-otology

Presentation(s) P02 - (-)

Poster/Presentation
Number 261

Objective

Background BACKGROUND: VM is the second most common diagnosis in dizzy clinics.In addition to vertigo attacks, patients with VM might complain being off-balance causing some difficulties in their daily activities. A few studies show that migraine patients, even without history of vertigo, have subtle balance problems.

Design/Methods DESIGN/METHODS: 30 definite VM patients, 26 migraine patients without history of vertigo (migraine only) and 30 subjects without migraine were studied. Twenty-six migraine only patients and 30 subjects without migraine were the control groups. Vestibular migraine patients were diagnosed according to Neuhauser criteria afer neuro-otological examination including bithermal caloric tests. Balance and gait were assessed by using of Clinical Test of Sensory Interaction and Balance, Berg Balance Scale, Dizziness Handicap Inventory, Falls Efficacy Scale and Dynamic Gait Index. Motion sickness susceptibility questionnaire short-form (MSSQ) was also given. Kruskal-Wallis one-way analysis of variance was done for statistics using SPSS 15 sofware.

Results RESULTS: VM patients demonstrated worse scores in all balance tests compared with two control groups. Migraine only patients showed significantly worse balance scores than migraine-free controls. VM patients and migraine only patients had significantly worse MSSQ childhood section scores than controls, but there was not any difference between VM and migraine only patients, VM patients had significantly worse scores in MSSQ adult section than both migraine only patients and controls.

Conclusions CONCLUSIONS: 1-VM patients have problems in static and dynamic balance and they have increased risk of falling and motion sickness intolerance. VM patients need vestibular rehabilitation for a better quality of life. 2-Migraine only patients also showed some significant balance problems. They might need vestibular rehabilitation for better daily activity performance. Migraine only patients had compansation in MSSQ adult section interestingly.

Authors/Disclosures
Gulden Akdal, MD PRESENTER	Dr. Akdal has nothing to disclose.
	No disclosure on file
	No disclosure on file

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