Audiological Findings in Patients with Vestibular Migraine and Migraine: History of Migraine May Be a Cause of Low-Tone Sudden Sensorineural Hearing Loss

Autor: Xin Ma, Yunjuan Lin, Lisheng Yu, Junfang Xue, Haijun Shan
Rok vydání: 2019
Předmět:
Adult
Male
medicine.medical_specialty
Adolescent
Physiology
Hearing Loss
Sensorineural
Migraine Disorders
Otoacoustic Emissions
Spontaneous
030204 cardiovascular system & hematology
Audiology
Vestibular migraine
03 medical and health sciences
Speech and Hearing
Tone (musical instrument)
Young Adult
0302 clinical medicine
Risk Factors
otorhinolaryngologic diseases
medicine
Evoked Potentials
Auditory
Brain Stem
Auditory system
Humans
In patient
medicine.diagnostic_test
business.industry
Hearing Loss
Sudden
Middle Aged
medicine.disease
Sensory Systems
Peripheral
Auditory brainstem response
medicine.anatomical_structure
Otorhinolaryngology
Migraine
Acoustic Impedance Tests
Case-Control Studies
Speech Discrimination Tests
Vertigo
Audiometry
Pure-Tone
Female
sense organs
Audiometry
business
Audiometry
Speech
030217 neurology & neurosurgery
Zdroj: Audiologyneuro-otology. 25(4)
ISSN: 1421-9700
Popis: Introduction: The aim of this study was to investigate and compare the auditory findings in migraine, vestibular migraine (VM), and healthy controls. Methods: Twenty-eight migraine patients (56 ears), 18 VM (36 ears), and 25 healthy controls (50 ears) were included. Audiometry, speech discrimination scores, distortion product optoacoustic emission (DPOAE), and auditory brainstem response were tested. Results: The pure tone in the VM group showed higher thresholds at lower frequencies (250, 500, 1,000, 2,000 Hz) than the control group, with statistical differences observed (P250 Hz = 0.001, P500 Hz = 0.003, P1,000 Hz = 0.016, P2,000 Hz = 0.002). Compared with the healthy controls, the patients with VM had significantly lower amplitudes of DPOAE at 1 kHz (p < 0.001) and 2 kHz (p = 0.020), and the patients with migraine had lower amplitudes at 2 kHz (p = 0.042). Compared with the control group, the patients with migraine reported prolonged latency of wave V (p = 0.016) and IPL I–V (p = 0.003). The patients with VM had significant prolongation of IPL I–V (p = 0.024). Conclusion: Not only the peripheral, but also the central auditory system was involved in patients with migraine and VM. In particular, lower frequencies of the auditory system were more likely to be involved in VM. The history of migraine may be a cause of low-tone sudden sensorineural hearing loss.
Databáze: OpenAIRE
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