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Patients with vestibular migraine are more likely to have occipital headaches than those with migraine without vestibular symptoms

Headache: The Journal of Head and Face Pain Aug 19, 2020

Wattiez AS, O’Shea SA, Eyck PT, et al. - This retrospective cross‐sectional study was undertaken to assess if patients with vestibular migraine were more likely to suffer from an occipital headache vs patients with migraine with no vestibular symptoms. This investigation was carried out at the University of Iowa Hospital and Clinics where they preformed a chart analysis of 169 patients. Forty-five out of 103 patients in the vestibular migraine group (44%) had an occipital location for their headaches vs 12 out of 66 (18%) in the migraine with no vestibular symptoms group; the resulting odd’s ratio was 3.5. In the vestibular migraine group, the age at onset of headache was higher and motion sickness was more frequent in the vestibular migraine group. Compared with patients with migraine without vestibular symptoms, those with vestibular migraine are more likely to have occipital headaches. The evidence supports further study to assess if a patient with occipital headaches, late onset of headache age, and a history of motion sickness are at an elevated risk of developing a vestibular migraine.

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