Headache and vestibular symptoms, vertigo or dizziness, are common complaints that
impact on quality of life. In general population studies the prevalence of migraine
is about 16% [
[1]
], of tension-type headache (TTH) 42% [
[2]
] and of vertigo/dizziness 23% [
[3]
]. Many patients have both headaches and vertigo/dizziness; for example in a general
population study of headache 31% of migraineurs had vertigo [
[4]
]. We found in a headache clinic population that about 25% of those with migraine but
only about 5% of those with TTH experience vertigo/dizziness simultaneously with headache
[
[5]
]. This association of vertigo with migraine has led to the concept of “vestibular
migraine” with a lifetime prevalence of 1% [
[6]
]. According to International Headache Society (IHS) criteria there is considerable
overlap between migraine and TTH. Here we re-analyze the characteristics of headache
and of vestibular symptoms in the population of headache clinic patients we studied
previously [
[5]
] to find out whether the presence of vestibular symptoms helps differentiate migraine
from TTH and whether this differentiating ability varies with patient age.Keywords
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References
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Article info
Publication history
Published online: June 27, 2015
Accepted:
June 24,
2015
Received in revised form:
June 14,
2015
Received:
May 11,
2015
Identification
Copyright
© 2015 Elsevier B.V. Published by Elsevier Inc. All rights reserved.
