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Prevalence and preferred medication for vestibular migraine in Menière’s disease: a multicenter retrospective cohort study in Korea
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Dong-Han Lee, Hong Ju Park, Kyu-Sung Kim, Hyun Ji Kim, Jae-Yong Byun, Min-Beom Kim, Minbum Kim, Myung-Whan Suh, Jae-Hyun Seo, Jong Dae Lee, Eun-Ju Jeon, Myung Hoon Yoo, Seok Min Hong, Sung-Kwang Hong, Hyo-Jeong Lee, Jung Woo Lee, Se-Joon Oh, Hyun Ah Kim, Hyung Lee, Eek-Sung Lee, Eun-Jin Kwon, Seong-Hae Jeong, Jeong-Yoon Choi, Chang-Hee Kim
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Res Vestib Sci. 2024;23(2):37-45. Published online June 14, 2024
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DOI: https://doi.org/10.21790/rvs.2024.005
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 Abstract
 PDF Supplementary Material
- Objectives
The aim of this study is to categorize headaches associated with definite Menière’s disease (MD) according to diagnostic criteria, to determine their prevalence, and to investigate the preferred medication across participating centers.
Methods
Patients diagnosed with definite MD at 17 university hospitals in otolaryngology or neurology departments in Korea between January 1, 2021 to December 31, 2021 were retrospectively included. Data on the presence of accompanying vestibular migraine (VM), migraine or non-migraine headaches, and clinical information were collected. A survey was conducted to assess preferences for treatment drugs for vertigo and headache control in MD patients with headache.
Results
A total of 435 definite MD patients were included, with a mean age of 57.0±14.9 years. Among them, 135 (31.0%) had accompanying headaches, of whom 48 (11.0% of all definite MD patients) could be diagnosed with VM. The prevalence of comorbid VM (definite and probable) was significantly higher in females (41 of 288, 14.2%) than in males (7 of 147, 4.8%) (p<0.05). There was no significant difference in the prevalence of comorbid VM between unilateral and bilateral MD patients (10.8% and 13.6%, respectively) (p > 0.05). Benzodiazepines, antihistamines, and antiemetics were mainly preferred for acute vertigo control, while nonsteroidal anti-inflammatory drugs, acetaminophen, and triptans were preferred for acute headache control, and topiramate, propranolol, and calcium channel blockers were mainly preferred for headache prevention.
Conclusions
VM is not uncommon in patients with definite MD in Korea. Further research is needed to understand the differences in headache prevalence and preferred medications across different centers.
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Impairment of Vestibular Function in Patients with Vestibular Schwannoma According to the Presence of Dizziness
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Youngjeong Lee, Se A Lee, Eek-Sung Lee, Tae-Kyeong Lee, Jong Dae Lee
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Res Vestib Sci. 2022;21(3):75-79. Published online September 15, 2022
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DOI: https://doi.org/10.21790/rvs.2022.21.3.75
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Abstract
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- Objectives
Vestibular schwannoma (VS) is a benign Schwann cell-derived slow growing tumor originating from the vestibular nerve. Here, we aimed to investigate the correlation between the presence of the dizziness symptoms and several vestibular function test results.
Methods
We analyzed 32 patients who diagnosed with VS from 2010 to 2021 in our hospital. Caloric test, cervical vestibular-evoked myogenic potential (cVEMP) test, and video head impulse test (vHIT) were analyzed.
Results
Age, sex, pure tone audiometry, and tumor size did not show any statistical significance according to the presence or absence of dizziness. There was also no association between the presence of dizziness symptom or dizziness type and the results of the caloric test, vHIT, and cVEMP test, respectively. However, patients with dizziness had a higher rate of tumors confined to the inner auditory canal than those without dizziness.
Conclusions
In this study, the rate of complaints of dizziness was higer in patients with intracanalicular VS. The diagnostic role of vestibulsr function tests in VS is limited. The dissociation of the results of caloric test, vHIT, and cVEMP test suggest that these test are complementary.
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Vestibular Function and Prognosis of Sudden Sensorineural Hearing Loss with Vertigo
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Se A Lee, Hyo Jun Kim, Bo Gyung Kim, Jong Dae Lee
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Res Vestib Sci. 2018;17(3):90-94. Published online September 18, 2018
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DOI: https://doi.org/10.21790/rvs.2018.17.3.90
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Abstract
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- Objectives
Vertigo combined with sudden sensorineural hearing loss (SSNHL) is known as a poor prognostic factor. We investigated clinical findings and vestibular function tests in patients of SSNHL with vertigo to find the prognostic factors.
Methods
We retrospectively evaluated data on the patients diagnosed with SSNHL with vertigo at Bucheon Soonchunhyang University Hospital from March 2009 to February 2018. We reviewed medical records and the results of vestibular function tests and audiometry.
Results
Of the 68 patients, 30 (44.1%) showed profound hearing loss and 53 (77.9%) showed poor recovery. Age and the degree of initial hearing loss showed negative prognostic factor in hearing recovery. Abnormal results of cervical vestibular evoked myogenic potentials (cVEMP) also showed significantly differences between good and poor recovery groups.
Conclusions
In this study, most of the patients of SSNHL with vertigo showed poor recovery. Age, degree of initial hearing loss, and the abnormal result of the cVEMP have a negative effect on the prognosis of hearing recovery.
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A Case of Recurrent Vertigo in Vestibular Schwannoma Treated with Chemical Labyrinthectomy
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Seung Jae Lee, Eun Sang Lee, Bo Gyung Kim, Jong Dae Lee
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Res Vestib Sci. 2017;16(4):147-150. Published online December 15, 2017
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DOI: https://doi.org/10.21790/rvs.2017.16.4.147
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6,801
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Crossref
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Abstract
PDF
- Vestibular schwannoma (VS) can have various symptoms and almost half of the patients have balance problems. Some patients with VS can suffer from recurrent vertigo mimicking Meniere’s disease. We present the case of a 61-year-old male patient who was suffering from recurrent vertigo due to VS while symptoms improved by chemical labyrinthectomy with gentamicin. We consider that chemical labyrinthectomy can be an option in the treatment of patients with recurrent vertigo for VS.
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Citations
Citations to this article as recorded by  - Diagnosis and Management of Vestibular Schwannoma: Focus on Dizziness
Sung Il Nam
Research in Vestibular Science.2021; 20(4): 119. CrossRef
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화학적 미로절제술로 치료한 전정신경초종에 의한 재발성 어지럼
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Seung Jae Lee, Eun Sang Lee, Bo Gyung Kim, Jong Dae Lee
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Received November 8, 2017 Accepted November 27, 2017 Published online November 27, 2017
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[Accepted]
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Abstract
- Vestibular schwannoma (VS) can have various symptoms and almost half of the patients have balance problems. Some patients with VS can suffer from recurrent vertigo mimicking Meniere’s disease. We present the case of a 61-year-old male patient who was suffering from recurrent vertigo due to VS while symptoms improved by chemical labyrinthectomy with gentamicin. We consider that chemical labyrinthectomy can be an option in the treatment of patients with recurrent vertigo for VS.
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Persistent Postural-Perceptual Dizziness
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Jong Dae Lee
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Res Vestib Sci. 2016;15(3):70-73. Published online September 15, 2016
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DOI: https://doi.org/10.21790/rvs.2016.15.3.70
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20,555
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635
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2
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Abstract
PDF
- Persistent postural-perceptual dizziness (PPPD) was derived from phobic postural vertigo and chronic subjective dizziness. Two key physical symptoms of PPPD are postural unsteadiness and visually induced dizziness. Although the underlying mechanism of PPPD is still enigmatic, the prognosis is good with adequate treatment. In this paper, diagnostic criteria, pathophysiology and treatment regarding PPPD will be reviewed.
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Citations
Citations to this article as recorded by - A Case Report of Persistent Postural-Perceptual Dizziness Treated with Korean Medicine
Min-hwa Kim, Gi-yoon Heo, Hee-kyung Kang, I-rang Nam, Maria Kim, In Lee, Jung-nam Kwon, So-yeon Kim, Young-ju Yun, Jun-yong Choi, Chang-woo Han, So-jung Park, Jin-woo Hong
The Journal of Internal Korean Medicine.2022; 43(4): 769. CrossRef - Pitfalls in the Diagnosis of Vertigo
Hyun Ah Kim, Hyung Lee
Journal of the Korean Neurological Association.2018; 36(4): 280. CrossRef
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