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Comparison of associated comorbid conditions in patients with benign paroxysmal positional vertigo with or without migraine history: A large single institution study

American Journal of Otolaryngology - Head and Neck Medicine and Surgery Jul 30, 2020

Hilton DB, Luryi AL, Bojrab DI, et al. - In the largest reported United States (US) cohort of benign paroxysmal positional vertigo (BPPV), experts aspired to explore whether the presence or absence of migraine correlates with increased associations of other factors. It was a retrospective chart review from a single US neurotology center. From 2003 to 2017, adult patients with BPPV classified into two groups ie, with migraine or without migraine. Data reported that in a BPPV-positive population (n = 1,481), the prevalence of self-reported migraine history was 25.8% (n = 382). Female gender, previous history of BPPV, younger age, and lack of diabetes were independently linked to the concurrent comorbidity of BPPV and migraine. Such data further substantiate previously reported rates (from smaller studies); and, show that recurrence and resolution rates are not worse in those with BPPV and migraine vs general BPPV population. Findings support the link between migraine and BPPV and enhance one's ability to provide accurate advice to patients on these diseases.

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