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Dizziness as a Possible Premonitory Symptom of Migraine




前驅症狀 頭暈 偏頭痛

Parallel abstracts

Dizziness or vertigo is a common premonitory or postdromal symptom of migraine and more common in patients who have migraine with aura than in patients who have migraine without aura. Because dizziness is often prolonged (more than one hour), the notion that dizziness is due to aura is controversial. A 25-year-old male had several attacks of dizziness and unsteadiness. Nausea, paresthesia along one side of the mouth, and unilateral facial and nuchal muscle stiffness were also noted. Because the fourth attack of dizziness and unsteadiness persisted three weeks, he visited our hospital for help. The results of his otolaryngologic physical examination, vestibular function test, pure tone audiometry, electrocardiogram, and awake electroencephalogram were normal, but those of his bilateral optokinetic after nystagmus test and Caloric test were not. Bilateral vestibular evoked myogenic potential results showed prolonged P13 and N23 latencies. Magnetic resonance angiogram of the brain revealed insufficient blood flow in branches of the posterior circulation and no brain lesion. Then, the patient became asymptomatic after two weeks of conservative treatment. However, episodes of the disease subsequently recurred once a month for 24 hours. Both of his parents suffered migraines, suggesting that his frequent attacks of dizziness might be predictive of migraine. However, neither aura nor migraine developed. Possibly, impairment of the cerebellum and brainstem led to paroxysms that caused imbalance and dizziness. He should be followed regularly since he is certain to suffer migraine in the future.

Parallel keywords

premonitory symptom dizziness migraine

Cited by

Chiang, M. C. (2016). 行動裝置在臨床醫療應用:以神經內科頭痛記錄為例 [master's thesis, Tamkang University]. Airiti Library. https://doi.org/10.6846/TKU.2016.00212