Otalgia Associated With Migraine
| Autor: | Michael Teixido, Omar Sabra, Stephen Lazar, Brian Kung, Peter Seymour |
|---|---|
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male Pediatrics medicine.medical_specialty Hearing loss Migraine Disorders Hearing Loss Conductive Physical examination Sex Factors Retrospective survey Symptom duration medicine Humans Migraine treatment Physical Examination Aged Pain Measurement Retrospective Studies medicine.diagnostic_test business.industry Retrospective cohort study Neuroma Acoustic Middle Aged Temporomandibular Joint Disorders medicine.disease Sensory Systems Treatment Outcome Otorhinolaryngology Migraine Earache Audiometry Pure-Tone Female Neurology (clinical) Audiometry medicine.symptom business |
| Zdroj: | Otology & Neurotology. 32:322-325 |
| ISSN: | 1531-7129 |
| DOI: | 10.1097/mao.0b013e318200a0c4 |
| Popis: | To investigate the association of otalgia and migraine.Retrospective survey with evaluation of otalgia response to migraine treatment. Only patients with minimum symptom duration of 3 months, who accepted migraine treatment and had a minimum follow-up of 3 months, were included.Single neurotology practice.All patients with otalgia in whom other causes of otalgia had been excluded and who were treated with migraine therapies.Standard first-line abortive and prophylactic migraine therapies.Specific clinical data, as well as pretreatment and posttreatment severity scores, were gathered. Response to treatment was assessed by comparing pretreatment and posttreatment symptom scores using paired t test.A total of 26 patients were included. Ninety-two percent responded to migraine therapy with improved symptom frequency, severity, and duration (p0.001). Median duration of symptoms was 5 years. Mean delay to response was 2.3 weeks, and mean follow-up was 20 months. Otalgia was the chief complaint in 77%. Pain was dull in 35%, sharp in 19%, throbbing in 19%, and mixed in 27%. Sixty-five percent demonstrated triggerability of otalgia. A total of 65% had International Headache Society migraine. Patients responded to many classes of migraine preventive and abortive medications.Otalgia of unclear cause can be related to migraine mechanisms. Our group showed a high prevalence of migraine characteristics, including headache, migraine-associated symptoms, patterns of triggerability, and response to migraine treatment. Clinical criteria for diagnosis of migraine-associated otalgia are suggested for future prospective study. |
| Databáze: | OpenAIRE |
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