A Month of Vestibular Migraine: Symptom Characterization Using Ecological Momentary Assessment.

Autor: Saroya J; School of Medicine, University of California, San Francisco, California, U.S.A.; Department of Otorhinolaryngology-Head and Neck Surgery, University of California, San Francisco, California, U.S.A., Humwell M; School of Medicine, University of California, San Francisco, California, U.S.A.; Department of Otorhinolaryngology-Head and Neck Surgery, University of California, San Francisco, California, U.S.A., Gardi A; School of Medicine, University of California, San Francisco, California, U.S.A.; Department of Otorhinolaryngology-Head and Neck Surgery, University of California, San Francisco, California, U.S.A., Chae R; School of Medicine, University of California, San Francisco, California, U.S.A.; Department of Otorhinolaryngology-Head and Neck Surgery, University of California, San Francisco, California, U.S.A., Wong D; School of Medicine, University of California, San Francisco, California, U.S.A.; Department of Otorhinolaryngology-Head and Neck Surgery, University of California, San Francisco, California, U.S.A., Allen I; School of Medicine, University of California, San Francisco, California, U.S.A.; Department of Epidemiology and Biostatistics, University of California, San Francisco, California, U.S.A., Sharon JD; School of Medicine, University of California, San Francisco, California, U.S.A.; Department of Otorhinolaryngology-Head and Neck Surgery, University of California, San Francisco, California, U.S.A.
Jazyk: angličtina
Zdroj: The Laryngoscope [Laryngoscope] 2025 Jan; Vol. 135 (1), pp. 293-298. Date of Electronic Publication: 2024 Aug 06.
DOI: 10.1002/lary.31679
Abstrakt: Objective(s): This study investigated the frequency and intensity of vestibular migraine (VM) symptoms using Ecological Momentary Assessment (EMA). This approach was intended to provide insights into the day-to-day experiences of individuals with VM, contributing to a more comprehensive understanding of this condition.
Methods: Participants reported symptoms to an automated text system, rating their dizziness over the prior 24 h as none, mild, moderate, or severe. Definitive Dizzy Days (DDDs) were defined as days with moderate or severe dizziness. A student's independent group t-test was used to compare the number of DDDs between VM and probable VM subjects.
Results: Sixty-six subjects were included, with an average of 29 days of pre-intervention data (SD = 1.4). The average number of days with no dizziness was 3.5 (SD = 6.5), mild dizziness was 9.1 (SD = 6.7), moderate dizziness was 11 (SD = 6.1), and severe dizziness was 5.4 (SD = 6.3). Out of the 66 patients, 52 were classified as VM and 14 as pVM. The average number of DDDs was not significantly different between VM (17.0, SD = 8.3) and pVM (15.3, SD = 10.0) patients, with a two-tailed p-value of 0.44.
Conclusion: With EMA, we found that the average subject with VM had some degree of dizziness almost every day, and more than 15 DDDs per month.
Level of Evidence: 3 Laryngoscope, 135:293-298, 2025.
(© 2024 The American Laryngological, Rhinological and Otological Society, Inc.)
Databáze: MEDLINE
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