Vestibular migraine: clinical and epidemiological aspects
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2016 |
| Outros Autores: | , , , , |
| Tipo de documento: | Artigo |
| Idioma: | eng por |
| Título da fonte: | Repositório Institucional da UNIFESP |
| dARK ID: | ark:/48912/001300000k51c |
| DOI: | 10.1016/j.bjorl.2015.06.003 |
| Texto Completo: | http://dx.doi.org/10.1016/j.bjorl.2015.06.003 https://repositorio.unifesp.br/handle/11600/57642 |
Resumo: | Introduction: Vestibular migraine (VM) is one of the most often common diagnoses in neurotology, but only recently has been recognized as a disease. Objective: To analyze the clinical and epidemiological profile of patients with VM. Methods: This was a retrospective, observational, and descriptive study, with analysis of patients' records from an outpatient VM clinic. Results: 94.1% of patients were females and 5.9% were males. The mean age was 46.1 years |
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Vestibular migraine: clinical and epidemiological aspectsMigrânea vestibular: aspectos clínicos e epidemiológicosVestibular migraineVertigoMigraine disordersDizzinessMigrânea vestibularVertigemTranstornos de enxaquecaTonturaIntroduction: Vestibular migraine (VM) is one of the most often common diagnoses in neurotology, but only recently has been recognized as a disease. Objective: To analyze the clinical and epidemiological profile of patients with VM. Methods: This was a retrospective, observational, and descriptive study, with analysis of patients' records from an outpatient VM clinic. Results: 94.1% of patients were females and 5.9% were males. The mean age was 46.1 years65.6% of patients had had headache for a longer period than dizziness. A correlation was detected between VM symptoms and the menstrual period. 61.53% of patients had auditory symptoms, with tinnitus the most common, although tonal audiometry was normal in 68.51%. Vectoelectronystagmography was normal in 67.34%, 10.20% had hyporeflexia, and 22.44% had vestibular hyperreflexia. Electrophysiological assessment showed no abnormalities in most patients. Fasting plasma glucose and glycemic curve were normal in most patients, while the insulin curve was abnormal in 75%. 82% of individuals with MV showed abnormalities on the metabolism of carbohydrates. Conclusion: VM affects predominantly middle-aged women, with migraine headache representing the first symptom, several years before vertigo. Physical, auditory, and vestibular evaluations are usually normal. The most frequent vestibular abnormality was hyperreflexia. Most individuals showed abnormality related to carbohydrate metabolism. (C) 2015 Associacao Brasileira de Otorrinolaringologia e Cirurgia Cervico-Facial. Published by Elsevier Editora Ltda.Introdução: Migrânea vestibular (MV) corresponde a um dos mais frequentes diagnósticos em otoneurologia, o que justifica a importância de seu estudo, embora tenha sido apenas recentemente reconhecida como entidade nosológica. Objetivo: Analisar os perfis clínico e epidemiológico dos pacientes atendidos em um ambulatório de migrânea vestibular. Método: Estudo retrospectivo, observacional e descritivo, com análise de prontuários dos pacientes do ambulatório de MV. Resultados: O ambulatório é composto por 94,1% de mulheres e 5,9% de homens, com média de idade 46,1 anos. O tempo de cefaleia foi superior ao de vertigem em 65,6% dos pacientes. Observou-se correlação entre os sintomas e o período menstrual. A maioria (61,53%) dos indivíduos apresentou algum sintoma auditivo, sendo o zumbido o mais frequente, embora a audiometria tenha sido normal em 68,51%. A vectoeletronistagmografia apresentou-se normal em 67,34%, enquanto 10,20% apresentaram hiporreflexia e 22,44% hiperreflexia vestibular. Exames eletrofisiológicos não mostraram alterações na maioria dos pacientes. Glicemia dejejum e curva glicêmica foram normais para a maioria dos pacientes, enquanto a curva insulinêmica mostrou-se alterada em 75% dos indivíduos. 82% dos indivíduos com MV apresentaram alguma alteração relativa ao metabolismo dos carboidratos. Conclusão: Migrânea vestibular acomete, predominantemente, mulheres de meia idade, com cefaleia migranosa e vertigem, sendo a primeira de instalação mais precoce. O exame físico no período intercrise, bem como as avaliações auditiva e vestibular, mostram-se, geralmente, normais. O tipo de alteração vestibular mais observado foi a hiperreflexia labiríntica. A maioria os indivíduos avaliados apresentou alterações relativas ao metabolismo dos carboidratos.Univ Fed Sao Paulo UNIFESP, Dept Otorhinolaryngol & Head & Neck Surg, Sao Paulo, SP, BrazilUniv Fed Sao Paulo UNIFESP, Dept Otorhinolaryngol & Head & Neck Surg, Sao Paulo, SP, BrazilWeb of ScienceAssoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial2020-08-14T13:44:23Z2020-08-14T13:44:23Z2016info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion397-402application/pdfapplication/pdfhttp://dx.doi.org/10.1016/j.bjorl.2015.06.003Brazilian Journal Of Otorhinolaryngology. Sao Paulo, v. 82, n. 4, p. 397-402, 2016.10.1016/j.bjorl.2015.06.003WOS000382184000006-en.pdfWOS000382184000006-pt.pdf1808-8694S1808-86942016000400397https://repositorio.unifesp.br/handle/11600/57642WOS:000382184000006ark:/48912/001300000k51cengporBrazilian Journal Of OtorhinolaryngologySao Pauloinfo:eu-repo/semantics/openAccessGoncalves Morganti, Ligia Oliveira [UNIFESP]Salmito, Marcio Cavalcante [UNIFESP]Duarte, Juliana Antoniolli [UNIFESP]Sumi, Karina Cavalcanti [UNIFESP]Simoes, Juliana Caminha [UNIFESP]Gananca, Fernando Freitas [UNIFESP]reponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-01T10:10:39Zoai:repositorio.unifesp.br/:11600/57642Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-12-11T20:22:25.542951Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
| dc.title.none.fl_str_mv |
Vestibular migraine: clinical and epidemiological aspects Migrânea vestibular: aspectos clínicos e epidemiológicos |
| title |
Vestibular migraine: clinical and epidemiological aspects |
| spellingShingle |
Vestibular migraine: clinical and epidemiological aspects Vestibular migraine: clinical and epidemiological aspects Goncalves Morganti, Ligia Oliveira [UNIFESP] Vestibular migraine Vertigo Migraine disorders Dizziness Migrânea vestibular Vertigem Transtornos de enxaqueca Tontura Goncalves Morganti, Ligia Oliveira [UNIFESP] Vestibular migraine Vertigo Migraine disorders Dizziness Migrânea vestibular Vertigem Transtornos de enxaqueca Tontura |
| title_short |
Vestibular migraine: clinical and epidemiological aspects |
| title_full |
Vestibular migraine: clinical and epidemiological aspects |
| title_fullStr |
Vestibular migraine: clinical and epidemiological aspects Vestibular migraine: clinical and epidemiological aspects |
| title_full_unstemmed |
Vestibular migraine: clinical and epidemiological aspects Vestibular migraine: clinical and epidemiological aspects |
| title_sort |
Vestibular migraine: clinical and epidemiological aspects |
| author |
Goncalves Morganti, Ligia Oliveira [UNIFESP] |
| author_facet |
Goncalves Morganti, Ligia Oliveira [UNIFESP] Goncalves Morganti, Ligia Oliveira [UNIFESP] Salmito, Marcio Cavalcante [UNIFESP] Duarte, Juliana Antoniolli [UNIFESP] Sumi, Karina Cavalcanti [UNIFESP] Simoes, Juliana Caminha [UNIFESP] Gananca, Fernando Freitas [UNIFESP] Salmito, Marcio Cavalcante [UNIFESP] Duarte, Juliana Antoniolli [UNIFESP] Sumi, Karina Cavalcanti [UNIFESP] Simoes, Juliana Caminha [UNIFESP] Gananca, Fernando Freitas [UNIFESP] |
| author_role |
author |
| author2 |
Salmito, Marcio Cavalcante [UNIFESP] Duarte, Juliana Antoniolli [UNIFESP] Sumi, Karina Cavalcanti [UNIFESP] Simoes, Juliana Caminha [UNIFESP] Gananca, Fernando Freitas [UNIFESP] |
| author2_role |
author author author author author |
| dc.contributor.author.fl_str_mv |
Goncalves Morganti, Ligia Oliveira [UNIFESP] Salmito, Marcio Cavalcante [UNIFESP] Duarte, Juliana Antoniolli [UNIFESP] Sumi, Karina Cavalcanti [UNIFESP] Simoes, Juliana Caminha [UNIFESP] Gananca, Fernando Freitas [UNIFESP] |
| dc.subject.por.fl_str_mv |
Vestibular migraine Vertigo Migraine disorders Dizziness Migrânea vestibular Vertigem Transtornos de enxaqueca Tontura |
| topic |
Vestibular migraine Vertigo Migraine disorders Dizziness Migrânea vestibular Vertigem Transtornos de enxaqueca Tontura |
| description |
Introduction: Vestibular migraine (VM) is one of the most often common diagnoses in neurotology, but only recently has been recognized as a disease. Objective: To analyze the clinical and epidemiological profile of patients with VM. Methods: This was a retrospective, observational, and descriptive study, with analysis of patients' records from an outpatient VM clinic. Results: 94.1% of patients were females and 5.9% were males. The mean age was 46.1 years |
| publishDate |
2016 |
| dc.date.none.fl_str_mv |
2016 2020-08-14T13:44:23Z 2020-08-14T13:44:23Z |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
| dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
http://dx.doi.org/10.1016/j.bjorl.2015.06.003 Brazilian Journal Of Otorhinolaryngology. Sao Paulo, v. 82, n. 4, p. 397-402, 2016. 10.1016/j.bjorl.2015.06.003 WOS000382184000006-en.pdf WOS000382184000006-pt.pdf 1808-8694 S1808-86942016000400397 https://repositorio.unifesp.br/handle/11600/57642 WOS:000382184000006 |
| dc.identifier.dark.fl_str_mv |
ark:/48912/001300000k51c |
| url |
http://dx.doi.org/10.1016/j.bjorl.2015.06.003 https://repositorio.unifesp.br/handle/11600/57642 |
| identifier_str_mv |
Brazilian Journal Of Otorhinolaryngology. Sao Paulo, v. 82, n. 4, p. 397-402, 2016. 10.1016/j.bjorl.2015.06.003 WOS000382184000006-en.pdf WOS000382184000006-pt.pdf 1808-8694 S1808-86942016000400397 WOS:000382184000006 ark:/48912/001300000k51c |
| dc.language.iso.fl_str_mv |
eng por |
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eng por |
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Brazilian Journal Of Otorhinolaryngology |
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info:eu-repo/semantics/openAccess |
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openAccess |
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397-402 application/pdf application/pdf |
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Sao Paulo |
| dc.publisher.none.fl_str_mv |
Assoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial |
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Assoc Brasileira Otorrinolaringologia & Cirurgia Cervicofacial |
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reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
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Universidade Federal de São Paulo (UNIFESP) |
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UNIFESP |
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UNIFESP |
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Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP |
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Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
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biblioteca.csp@unifesp.br |
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1822249222907363328 |
| dc.identifier.doi.none.fl_str_mv |
10.1016/j.bjorl.2015.06.003 |