2021, Number 1
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Otorrinolaringología 2021; 66 (1)
Dizziness handicap inventory in patients with vestibular migraine
Pane-Pianese C, De la Llata SC, Tella VC, Hernaiz LJ, Pane NM
Language: Spanish
References: 14
Page: 1-14
PDF size: 357.55 Kb.
ABSTRACT
Background: Vestibular migraine is a common cause of equilibrium disorders that
is characterized by vertigo attacks and disequilibrium that may last minutes up to days,
it’s associated with migraines headaches or prodromic symptoms of migraine. Due to
the variability in symptoms of vestibular patients, follow up can be difficult. The Dizziness
Handicap Inventory (DHI) is a standardized system for vestibular symptomatology
with high accuracy and reliability used in this context.
Objective: To describe the characteristics of patients diagnosed with vestibular migraine
and the results of the Dizziness Handicap Inventory before and after treatment.
Materials and Methods: A descriptive study including patients diagnosed with
vestibular migraine from March 2018 to March 2020. Patients answered Dizziness
Handicap Inventory questionnaires during their initial appointments and after a new
treatment or treatment adjustments.
Results: There were included 28 patients, age ranged between 10 to 69 years, and
78% of patients were female. The most frequent symptoms were headache (64.3%),
dizziness (57.1%) and tinnitus (42.8%). Specific treatments varied by patients, but
most of them received topiramate (37.9%), ergotamine (17.2%) and acetylsalicylic
acid 17.2%). Total Dizziness Handicap Inventory scores significantly decreased
(p ≥ 0.0001) after treatment.
Conclusions: Most patients diagnosed with vestibular migraine improve their Dizziness
Handicap Inventory scores after treatment, regardless of the specific medications
prescribed.
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