The effect of migraine and motion sickness on symptoms evoked by the caloric vestibular test

dc.contributor.authorGedik-Soyuyuce, Ozlem
dc.contributor.authorYalinay-Dikmen, Pinar
dc.contributor.authorKorkut, Nazim
dc.date.accessioned2023-02-21T12:33:07Z
dc.date.available2023-02-21T12:33:07Z
dc.date.issued2022-01-01
dc.description.abstractBACKGROUND: The caloric vestibular test (CVT) may evoke headache and vestibular symptoms in susceptible people. Patients with migraines have higher susceptibility to motion sickness. In migraines, impaired habituation to repetitive stimuli is a well-known interictal abnormality. OBJECTIVE: This study is aimed at evaluating CVT-evoked headache, nausea, vomiting, and imbalance in patients with and without migraine and/or motion sickness. METHODS: A retrospective data analysis was performed on 554 patients with a complaint of dizziness who underwent bithermal CVT at a tertiary referral center. The occurrences of CVT-evoked headache, nausea, vomiting, and imbalance were observed in four groups: patients with only migraine (MG
dc.description.abstractn = 94), those with only motion sickness (MSG
dc.description.abstractn = 89), those with migraine and motion sickness (MMSG
dc.description.abstractn = 122), and those without migraine and motion sickness (non-MMSG
dc.description.abstractn = 146). The differences between the groups were assessed. RESULTS: The mean ages of groups were similar (p = 0.534). The proportions of females were higher in the MG, MSG, and MMSG (p = 0.001). The severity of nausea and headache for each gender was higher in the MG, MSG, and MMSG (p < 0.001). Vomiting was more common in MMSG among males (p = 0.003), while there was no difference between groups among females (p = 0.099). Imbalance was more common in MMSG among females (p < 0.001). A relationship was detected between age and imbalance (p < 0.001), where an increased risk for imbalance was evident with greater age. Three patients in the MMSG needed hospitalization after CVT. CONCLUSIONS: Special caution is needed when performing caloric testing for patients with migraines or MS since CVTevoked symptoms may occur with higher incidence and intensity, which might be related to a lack of habituation in neuronal information processing after robust sensory stimuli like CVT.
dc.description.issue2
dc.description.pages135-144
dc.description.volume32
dc.identifier.doi10.3233/VES-210046
dc.identifier.urihttps://hdl.handle.net/11443/1390
dc.identifier.urihttp://dx.doi.org/10.3233/VES-210046
dc.identifier.wosWOS:000792651200006
dc.publisherIOS PRESS
dc.relation.ispartofJOURNAL OF VESTIBULAR RESEARCH-EQUILIBRIUM \& ORIENTATION
dc.subjectCaloric tests
dc.subjectdizziness
dc.subjectheadache
dc.subjectmigraine
dc.subjectmotion sickness
dc.titleThe effect of migraine and motion sickness on symptoms evoked by the caloric vestibular test
dc.typeArticle

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