Journal of Vestibular Research-Equilibrium & Orientation最新文献

{"title":"Oculomotor compensatory strategies in bilateral vestibulopathy: Predictive and active conditions of head movements.","authors":"Vincent Lagadec, Denis Pelisson, Eric Koun, Camille Robert, Caroline Froment Tilikete, Ruben Hermann","doi":"10.1177/09574271251355180","DOIUrl":"10.1177/09574271251355180","url":null,"abstract":"<p><p>BackgroundImpaired vestibulo-ocular reflex (VOR) can be compensated by catch-up saccades and/or increased residual VOR. Prediction and intention seem able to potentiate both responses, but how do these effects combine, particularly in individuals with bilateral vestibulopathy (BVP), remains largely unknown.ObjectiveTo compare the impact of passive, predictive and voluntary conditions of head impulse tests (HIT) on global oculomotor compensatory responses in individual with BVP.MethodsHIT were performed in Passive(P)-Random, Passive(P)-Cued and Active head movement conditions. VOR gain and latency and gain of the 1^st catch up saccades were calculated for the 32 tested ears. Among the 1^st catch up saccade, a separate analysis of covert saccades was performed.ResultsLatency of covert saccades was shorter in the Active compared to P-Random and P-Cued. First saccades showed shorter latency and greater gain in the P-Cued condition versus P-Random. VOR gain was significantly higher in the Active condition compared to P-Random and P-Cued. Most individuals enhanced catch-up saccades and VOR gain simultaneously while others either boosted VOR gain while reducing saccade efficiency, or enhanced saccade efficiency while decreasing VOR gain.ConclusionsPrediction and intention improve gaze during HIT in individuals with BVP by optimising existent oculomotor responses. During active movements, these effects combined according to subjects' individual strategies.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251355180"},"PeriodicalIF":2.9,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340555","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Which factors influence the deterioration in vestibular function? A nationwide, population-based study with video-head impulse test.","authors":"Jeon Mi Lee, Sung Goo Yoo, Hyun Jin Lee","doi":"10.1177/09574271251351681","DOIUrl":"https://doi.org/10.1177/09574271251351681","url":null,"abstract":"<p><p>ObjectivesWe aimed to investigate the prevalence and age-related changes in vestibular function within the general population using survey data from the Korean National Health and Nutrition Examination Survey (KNHANES) and examine the potential factors influencing it.MethodsWe analyzed retrospective data from 1270 participants from the 2021 KNHANES who completed both the video head impulse test and audiometric evaluations. Participants with vestibulo-ocular reflex (VOR) gains <0.8 and >1.2 were excluded to minimize the impact of possible testing errors and prior impaired vestibular function. We assessed the prevalence and age-related changes in vestibular function and analyzed potential influencing factors using logistic regression analysis.ResultsThe VOR gain decreased with age; however, statistical significance was not achieved (coefficient -0.0003, <i>p</i> = 0.281). The presence of corrective saccades significantly increased with age (<i>p</i> < 0.001), with those in their 70s being 3.98 times more likely to exhibit corrective saccades than those in their 40s. The overall prevalence was 17.08%. Subjects with corrective saccades exhibit lower VOR gain than those without it (<i>p</i> < 0.001). Age, sex, hypertriglyceridemia, and hearing levels at 4000 Hz were significantly associated with the presence of corrective saccades.ConclusionVestibular function declined with age, influenced significantly by sex, hypertriglyceridemia, and hearing level at 4000 Hz. The increased prevalence of corrective saccades among older adults underscores the importance of early detection and intervention. Understanding age-related changes in vestibular function can facilitate appropriate management strategies and countermeasures at the personal and societal healthcare level.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251351681"},"PeriodicalIF":2.9,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144318537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictive modeling of maneuver numbers in BPPV therapy using machine learning.","authors":"Mine Baydan-Aran, Kübra Binay-Bolat, Emre Söylemez, Orkun Tahir Aran","doi":"10.1177/09574271251351905","DOIUrl":"https://doi.org/10.1177/09574271251351905","url":null,"abstract":"<p><p>ObjectiveSome patients with benign paroxysmal positional vertigo (BPPV) do not improve with a single maneuver and may require multiple maneuvers. This study aims to utilize machine learning (ML) to identify parameters predisposing multiple CRMs, thus enhancing the predictability of treatment requirements in BPPV patients.Study designRetrospective study.SettingHospital.PatientsThis study included 520 participants diagnosed with BPPV between 2018 and 2023, with a mean age of 56.2 ± 14.0 years.InterventionsAge, BPPV type, comorbid diseases, gender, and number of maneuvers that the patients recovered with were determined. The target outcome-\"number of maneuvers\"-was dichotomized as either one (0) or more than one (1). The models' success was evaluated using metrics such as precision, F1-score, accuracy, balanced accuracy, recall, area under the Receiver Operating Characteristic (ROC), and area under the curve (AUC).ResultsThe applied maneuver number to treat BPPV was 188 (36%) in one maneuver and 332 (67%) in more than one maneuvers. Gradient Boosting Machine (GBM) had the best AUC in maneuver number estimation. Also, logistic regression resulted the best precision score; XGBoost showed the best F1 and recall score while support vector classifier showed the best accuracy and balanced accuracy scores.ConclusionsMachine learning models with high predictive capabilities can help identify patients likely to need multiple maneuvers, allowing for more efficient treatment planning and enhanced patient outcomes.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251351905"},"PeriodicalIF":2.9,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144286977","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of computerized rotational impulse test (crHIT) and video head impulse test (vHIT) in all semicircular canals among normal subjects.","authors":"Erin Williams, Fumihiro Mochizuki, Alexander Kiderman, Joseph Furman, Michael Hoffer","doi":"10.1177/09574271251326054","DOIUrl":"https://doi.org/10.1177/09574271251326054","url":null,"abstract":"<p><p>BackgroundThe computerized rotational head impulse test (crHIT) employs whole-body impulsive rotations like the angular motion used in the video head impulse test (vHIT) to assess the function of all semicircular canals (SCCs).ObjectiveThis study utilized vertical crHIT and vHIT among healthy subjects to evaluate the effectiveness of these tools in assessing SCC function.MethodsThirty-five individuals with no history of vestibular disorders or traumatic brain injury were enrolled in this study. Participants underwent vHIT (ICS Impulse Otometrics) and crHIT (Neuro-Otologic Testing Center, Spryson America, Inc.).ResultsMean VOR gain was significantly higher during crHIT compared to vHIT, except for the right horizontal SCC (<i>p</i> < 0.01). Coefficient of variation (CV) for crHIT was smaller than that observed in vHIT across all 6 SCCs, with significant differences in all but the LA and RP SCCs. We also computed lower limits of normal (LLN) for each condition; up to 2.9% of crHIT values fell outside the acceptable LLN compared to up to 37% of vHIT gain values. Average reduced vestibular response (RVR) for crHIT was lower than that observed in vHIT among all semicircular canal pairs and demonstrated less variability for crHIT as compared to vHIT.ConclusionsOverall, these findings support the clinical utility of crHIT for comprehensive SCC function evaluation.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251326054"},"PeriodicalIF":2.9,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144188368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-cultural adaptation, validity, and reliability study of shortened version of the Vestibular Activities and Participation Measure into Turkish.","authors":"Bilgehan Tekin Dal, Gurbet İpek Şahin Kamışlı","doi":"10.1177/09574271251347262","DOIUrl":"https://doi.org/10.1177/09574271251347262","url":null,"abstract":"<p><p>BackgroundVestibular disorders significantly impact daily activities and participation, leading to reduced quality of life. The Shortened Vestibular Activities and Participation Measure (VAP) is a 12-item tool designed to assess activity limitations and participation restrictions in individuals with vestibular disorders.ObjectiveIn this study, the Turkish Shortened VAP was translated and culturally adapted. Its validity and reliability were also assessed.MethodsA total of 123 participants with vestibular disorders were included. The translation and cultural adaptation followed standard guidelines. Structural validity was assessed through exploratory and confirmatory factor analyses, and convergent validity was evaluated using correlations with the Dizziness Handicap Inventory (DHI). Reliability was examined using internal consistency (Cronbach's alpha and McDonald's omega) and item analysis.ResultsFactor analyses confirmed the two-factor structure with good fit indices (GFI = 0.938). Significant correlations with the DHI supported convergent validity (r = 0.65). Internal consistency was strong for the total scale (Cronbach's α = 0.85; McDonald's ω = 0.91) and acceptable for subscales. All items demonstrated acceptable corrected item-total correlations.ConclusionsThe Turkish Shortened VAP is a valid and reliable tool for assessing activity limitations and participation restrictions in vestibular disorders, suitable for clinical and research use in Turkey.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251347262"},"PeriodicalIF":2.9,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical features and outcome predictors in benign paroxysmal positional vertigo and its variant: Perspective in a primary care neurology clinic.","authors":"Min-Ku Kim, Hyo-Jung Kim, Jeong-Yoon Choi, Ji-Soo Kim","doi":"10.1177/09574271251347261","DOIUrl":"https://doi.org/10.1177/09574271251347261","url":null,"abstract":"<p><p>Background and PurposePrevious studies on benign paroxysmal positional vertigo (BPPV) have primarily been performed in referral-based clinics. This study aimed to explore the clinical characteristics of BPPV and its variant (light cupula) in a primary care setting.MethodsWe retrospectively analyzed the clinical data of 1126 patients who visited a primary care neurology clinic due to dizziness or vertigo between March 2023 and February 2024. We collected information on age, sex, affected ear, symptom duration at the first evaluation, BPPV subtypes (including the variant), duration of positional nystagmus (transient: <1 min vs persistent: ≥1 min), and the number of canalith repositioning procedures (CRPs) required for treatment.ResultsA total of 308 patients (27.4%) were diagnosed with BPPV or its variant. Subtypes included posterior canal (PC) type in 183 (59.4%), geotropic horizontal canal (HC) type in 73 (23.7%), apogeotropic HC type in 43 (14.0%), anterior canal type in 4 (1.3%), and mixed type in 5 (1.6%). The proportion of PC type increased with a longer duration of symptoms (<i>p</i> = 0.012). In multinomial regression, only the duration of positional nystagmus was significantly associated with the number of CRPs (<i>p</i> < 0.001), as patients with persistent nystagmus required more CRPs than those with transient nystagmus.ConclusionsIn primary care, the proportion of each subtype of BPPV and its variant differs according to symptom duration. Furthermore, patients with positional nystagmus lasting more than 1 minute tend to be more refractory to CRPs.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251347261"},"PeriodicalIF":2.9,"publicationDate":"2025-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144163467","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Patient-Reported Outcomes Measurement Information System (PROMIS) outcomes: Higher odds of adverse mental health when physical function is impaired.","authors":"Christopher McConnell, Paul Allen, Eric Anson","doi":"10.1177/09574271251335958","DOIUrl":"https://doi.org/10.1177/09574271251335958","url":null,"abstract":"<p><p>PurposeBalance and vestibular disorders have a profound impact on quality of life. Anxiety (ANX) and depression (DEP) are common with dizziness, vertigo, or imbalance. It is unclear whether self-reported anxiety or depression depends on perceived physical function for individuals participating in vestibular rehabilitation (VPT). We hypothesized that individuals with worse physical function would be more likely to report abnormally high anxiety and/or depression levels.Participants170 individuals referred for vestibular rehabilitation (113 female, 57 males, and age 63.7 (21)).MethodsA retrospective chart review extracted age, Patient-Reported Outcome Measurement Information System (PROMIS) scores (ANX, DEP, physical function) and primary diagnoses [benign paroxysmal positional vertigo (<i>n</i> = 42), unilateral vestibular hypofunction (<i>n</i> = 39), bilateral vestibular hypofunction (<i>n</i> = 14), concussion/head injury (<i>n</i> = 7), dizziness/vertigo (<i>n</i> = 37), and imbalance (<i>n</i> = 31)]. Average PROMIS scores and percentage of abnormal scores were calculated for physical function, ANX, and DEP scores and reported using descriptive statistics. Logistic regression was performed to separately examine the odds of abnormal ANX and DEP based on abnormal physical function while controlling for age and sex, on the entire dataset and on diagnosis subgroups.ResultsIndividuals referred to vestibular physical therapy with self-reported abnormal physical function were more likely to have abnormal ANX (OR 5.1, <i>p</i> < 0.001) or DEP (OR 3.10, <i>p</i> = 0.002). Older adults were less likely to have abnormal ANX (OR = 0.96, <i>p</i> = 0.002). For individuals experiencing BPPV (<i>n</i> = 42), those with abnormal physical function are more likely to report ANX (OR 9.9, <i>p</i> = 0.009). For individuals with UVH (<i>n</i> = 39), those with abnormal physical function were more likely to report ANX (OR 10.1, <i>p</i> = 0.008) or DEP (OR 9.9, <i>p</i> = 0.010).ConclusionSelf-reported abnormal physical function corresponds to a higher incidence of abnormal ANX and DEP for individuals referred to VPT. Individuals with benign proximal positional vertigo and unilateral vestibular hypofunction were approximately 10 times more likely to experience abnormally high ANX or DEP compared to all other primary diagnosis. Clinicians seeing patients in VPT should be screening for anxiety and depression especially for those with self-reports of impaired physical function.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251335958"},"PeriodicalIF":2.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095621","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sleep quality of service members and veterans with and without reports of dizziness.","authors":"Carrie W Hoppes, Isaac D Erbele, Karen H Lambert, Samrita Thapa, Erica S Rich, Tony T Yuan, Matthew S Brock, Kelly M Reavis","doi":"10.1177/09574271251338696","DOIUrl":"https://doi.org/10.1177/09574271251338696","url":null,"abstract":"<p><p>BackgroundMilitary duty may place Service members and Veterans at an increased risk of experiencing dizziness. Individuals with dizziness report poor sleep quality as well as abnormal sleep duration, which is associated with increased risk of falling and worse quality of life. The overall pooled prevalence of poor sleep quality in Service members and Veterans was 69%, but it is not known if Service members and Veterans with self-reported dizziness report poorer sleep quality than their counterparts without dizziness.ObjectiveThe purpose of this research study was to evaluate the sleep quality of Service members and Veterans with and without reports of dizziness.MethodsDescriptive statistics were used to explore the prevalence of self-reported dizziness among Service members and Veterans by demographic characteristics. Descriptive statistics were also used to describe the prevalence of participants' dizziness symptoms and the mean age participants first noticed dizziness. Models (unadjusted and adjusted) were created by regressing sleep disorders and daytime sleepiness on dizziness frequency. Potential confounders were chosen a priori through a theoretical framework. Military status (Service member vs Veteran) was explored as an interaction term. Odds ratios (ORs) and 95% confidence intervals (CIs) were calculated, with statistical significance determined by the 95% CI.ResultsDizziness was reported by 22.4% of Service members (<i>n</i> = 171 of 763) and 31.7% of Veterans (<i>n</i> = 241 of 761). Service members and Veterans with dizziness were 1.7 times more likely to have a sleep disorder than Service members and Veterans without dizziness.ConclusionsService members and Veterans with dizziness were more likely to have poor sleep quality than those without dizziness. Medical providers should screen for sleep disturbances, evaluate for obstructive sleep apnea, treat chronic insomnia disorder, and consider referral for vestibular rehabilitation in Service members and Veterans presenting with dizziness.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"9574271251338696"},"PeriodicalIF":2.9,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095624","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of vHIT deficits with Ramsay Hunt syndrome with dizziness, vestibular neuritis, and idiopathic sudden sensorineural hearing loss with vertigo.","authors":"Yingzhao Liu, Xiaoye Chen, Xingqian Shen, Kaijun Xia, Qin Liu, Renhong Zhou, Yangming Leng, Hongjun Xiao, Bo Liu","doi":"10.1177/09574271251313801","DOIUrl":"10.1177/09574271251313801","url":null,"abstract":"<p><p>BackgroundRamsay Hunt syndrome with dizziness (RHSD), vestibular neuritis (VN), and idiopathic sudden sensorineural hearing loss with vertigo (SHLV) all present with acute vestibular symptoms, and no study has compared the semicircular canal (SCC) deficits among them.ObjectiveThis study aimed to use video head impulse test (vHIT) to compare the SCC injury patterns in RHSD, VN, and SHLV.MethodsTwenty-three RHSD patients, 44 VN patients, and 70 SHLV patients were enrolled. The vestibulo-ocular reflex gain and incidence of corrective saccades of anterior, horizontal, and posterior SCC (ASCC, HSCC, and PSCC) were examined using vHIT. Pathological vHIT results referred to decreased VOR gain and presence of corrective saccades.Results(1) The pathological rate of each SCC in RHSD group was the highest. (2) Impairment pattern of SCCs can be divided into 7 types based on vHIT results. The pattern of ASCC + HSCC + PSCC disability was the most common in RHSD patients (12/23, 52.2%). In the VN group, the HSCC deficit alone was the most common (16/44, 36.4%), followed by HSCC + ASCC impairment (13/44, 29.5%). In SHLV patients, the most common type was the PSCC deficit alone (26/70, 37.1%). (3) The system cluster analysis revealed that the injury of all SCCs in RHSD patients, the deficit of HSCC alone in VN patients, and the impairment of PSCC alone in SHLV patients showed the farthest distance from other injury patterns.ConclusionSCCs deficit showed more severe and extensive vestibular impairment in RHSD compared with VN and SHLV, suggesting these three peripheral acute vestibular disorders may have different pathophysiologic mechanisms.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"121-131"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143460285","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical characteristics of probable vestibular migraine.","authors":"Chisato Fujimoto, Naoko Ogata, Kento Koda, Kentaro Ichijo, Mineko Oka, Makoto Kinoshita, Kenji Kondo","doi":"10.1177/09574271251324457","DOIUrl":"10.1177/09574271251324457","url":null,"abstract":"<p><p>BackgroundThe International Classification of Vestibular Disorders defines probable vestibular migraine (PVM) as an episodic vestibular disorder with either a history of migraine (criterion B) or migraine features during vestibular episodes (criterion C).ObjectiveThe purpose of this study is to investigate the clinical characteristics of PVM, focusing on items in the diagnostic criteria.MethodsWe retrospectively reviewed the medical records of 30 consecutive PVM patients diagnosed according to the Barany classification. The PVM patients were divided into two groups: those who fulfilled the criterion B (pre-existing migraine group) and those who fulfilled the criterion C (migraine features group).ResultsTwenty-four patients (80%) were in the pre-existing migraine group and the remaining 6 patients (20%) were in the migraine features group. All patients in the migraine features group had headache episodes. There were no significant differences between the two groups with regard to prevalence of migraine features listed in the criterion C and abnormal testing results.ConclusionsThe diagnosis of PVM was based on a history of migraine in most patients and on migraine features during vestibular episodes only in a few. All patients with migraine features during vestibular episodes had also headache episodes.</p>","PeriodicalId":49960,"journal":{"name":"Journal of Vestibular Research-Equilibrium & Orientation","volume":" ","pages":"140-144"},"PeriodicalIF":2.9,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143517176","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}