Jeffrey D Sharon1, Timothy E Hullar. 1. Department of Otolaryngology, Washington University School of Medicine, St. Louis, Missouri, U.S.A.
Abstract
OBJECTIVES/HYPOTHESIS: We examined whether scores on a motion sensitivity questionnaire (MSQ) could distinguish between vestibular migraine (VM) and Meniere's disease (MD). As a secondary goal, we examined whether scores on the MSQ correlated with results from caloric testing. STUDY DESIGN: This study administered a telephone questionnaire to subjects who met clinical criteria for vestibular migraine, Meniere's disease, and controls. METHODS: A MSQ was administered to 20 subjects meeting American Academy of Otolaryngology (AAO) criteria for MD, 30 subjects meeting Neuhauser criteria for both probable vestibular migraine (pVM) and definite vestibular migraine (dVM), and 22 controls. RESULTS: The average score on the MSQ was 5.9 for VM, 4.25 for MD, and 0.4 for controls. Both the VM and MD scored significantly higher than the controls (P = 0.0001), but results were not statistically different from each other (P = 0.17). However, the average score for subjects with dVM was 7.1, which was significantly higher than subjects with pVM whose average score was 4.2 (P = 0.045) and higher than subjects with MD (P = 0.048). When each question of the MSQ was analyzed, motion sensitivity to riding in a car was found to be significantly different between VM (average score 1.1) and MD (average score 0.5), with P value of 0.048. Scores of MSQ did not correlate with the total eye speed (TES) on caloric testing. CONCLUSIONS: Subjects with VM and MD had elevated levels of motion sensitivity compared to controls. Subjects with VM had more motion sensitivity to riding in a car than those with MD, but their TES was not different. LEVEL OF EVIDENCE: 3b.
OBJECTIVES/HYPOTHESIS: We examined whether scores on a motion sensitivity questionnaire (MSQ) could distinguish between vestibular migraine (VM) and Meniere's disease (MD). As a secondary goal, we examined whether scores on the MSQ correlated with results from caloric testing. STUDY DESIGN: This study administered a telephone questionnaire to subjects who met clinical criteria for vestibular migraine, Meniere's disease, and controls. METHODS: A MSQ was administered to 20 subjects meeting American Academy of Otolaryngology (AAO) criteria for MD, 30 subjects meeting Neuhauser criteria for both probable vestibular migraine (pVM) and definite vestibular migraine (dVM), and 22 controls. RESULTS: The average score on the MSQ was 5.9 for VM, 4.25 for MD, and 0.4 for controls. Both the VM and MD scored significantly higher than the controls (P = 0.0001), but results were not statistically different from each other (P = 0.17). However, the average score for subjects with dVM was 7.1, which was significantly higher than subjects with pVM whose average score was 4.2 (P = 0.045) and higher than subjects with MD (P = 0.048). When each question of the MSQ was analyzed, motion sensitivity to riding in a car was found to be significantly different between VM (average score 1.1) and MD (average score 0.5), with P value of 0.048. Scores of MSQ did not correlate with the total eye speed (TES) on caloric testing. CONCLUSIONS: Subjects with VM and MD had elevated levels of motion sensitivity compared to controls. Subjects with VM had more motion sensitivity to riding in a car than those with MD, but their TES was not different. LEVEL OF EVIDENCE: 3b.
Authors: Brian A Neff; Jeffrey P Staab; Scott D Eggers; Matthew L Carlson; William R Schmitt; Kathryn M Van Abel; Douglas K Worthington; Charles W Beatty; Colin L Driscoll; Neil T Shepard Journal: Otol Neurotol Date: 2012-09 Impact factor: 2.311
Authors: Nai-Yuan Nicholas Chang; Meghan M Hiss; Mark C Sanders; Osarenoma U Olomu; Paul R MacNeilage; Rosalie M Uchanski; Timothy E Hullar Journal: Ear Hear Date: 2014 Sep-Oct Impact factor: 3.570
Authors: Francesco Martines; Francesco Dispenza; Calogero Montalbano; Roberta Priola; Angelo Torrente; Rosario La Gumina; Filippo Brighina; Francesco Galletti; Pietro Salvago Journal: J Int Adv Otol Date: 2020-08 Impact factor: 1.017
Authors: Yoon-Hee Cha; John F Golding; Behrang Keshavarz; Joseph Furman; Ji-Soo Kim; Jose A Lopez-Escamez; Måns Magnusson; Bill J Yates; Ben D Lawson Journal: J Vestib Res Date: 2021 Impact factor: 2.354