Cutaneous Allodynia and Photophobia in Vestibular Migraine and Other Vestibular Disorders: A Prospective Study in a Tertiary Centre.

IF 1.7 4区医学 Q2 OTORHINOLARYNGOLOGY

Clinical Otolaryngology Pub Date : 2025-02-27 DOI:10.1111/coa.14294

Jawad Abdulla, David Moreno-Ajona, María Dolores Villar Martínez, Stefania Maniataki, Peter Goadsby, Louisa Murdin

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引用次数: 0

Abstract

Introduction: Photophobia (PP) and cutaneous allodynia (CA) are sensory sensitivity symptoms recognised as features of migraine. The prevalence of PP and CA in vestibular migraine (VM) and other vestibular disorders (OVD) is unknown.

Aim: The aim of this study is to measure the prevalence of PP and CA in VM compared with OVD.

Methodology: Consecutive patients in a dizziness clinic were classified as either VM or OVD. Patients with chronic migraine with VM (VMCM) and without VM (NVCM) presenting to a tertiary headache clinic were included. All completed validated questionnaires: Leiden Visual Sensitivity Scale (L-VISS) for PP and Allodynia Symptom Checklist (ASC-12) for CA.

Results: Ninety participants provided responses (age 23-82 years; 71 females and 19 males; 27 with VM, 21 with VMCM, 19 with NVCM and 23 with OVD). The PP mean scores were similar between VM, VMCM and NVCM, and higher in those three groups compared to OVD (ANOVA, p < 0.0005). The mean rank for CA was higher in those three groups compared to OVD (Kruskal-Wallis, p < 0.05), but not significantly different with other group combinations. CA was much more specific for VM, VMCM and NVCM (83%) compared to 4% for PP. The odds of VMCM, NVCM and VM patients having CA were 99.353, 47.595 and 16.708 times that for OVD, respectively (ordinal logistic regression, p < 0.005).

Conclusion: VM can be distinguished from OVD by ASC-12 and L-VISS questionnaires with high specificity for CA. CA might be an under-recognised symptom of VM.

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来源期刊

Clinical Otolaryngology 医学-耳鼻喉科学

CiteScore

4.00

自引率

4.80%

发文量

106

审稿时长

>12 weeks

期刊介绍： Clinical Otolaryngology is a bimonthly journal devoted to clinically-oriented research papers of the highest scientific standards dealing with: current otorhinolaryngological practice audiology, otology, balance, rhinology, larynx, voice and paediatric ORL head and neck oncology head and neck plastic and reconstructive surgery continuing medical education and ORL training The emphasis is on high quality new work in the clinical field and on fresh, original research. Each issue begins with an editorial expressing the personal opinions of an individual with a particular knowledge of a chosen subject. The main body of each issue is then devoted to original papers carrying important results for those working in the field. In addition, topical review articles are published discussing a particular subject in depth, including not only the opinions of the author but also any controversies surrounding the subject. • Negative/null results In order for research to advance, negative results, which often make a valuable contribution to the field, should be published. However, articles containing negative or null results are frequently not considered for publication or rejected by journals. We welcome papers of this kind, where appropriate and valid power calculations are included that give confidence that a negative result can be relied upon.