Assessment of Sacculocollic and Vestibulomasseteric Reflex Pathways in Individuals With Migraine and Vestibular Migraine.

IF 1.4 4区 医学 Q3 AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY American Journal of Audiology Pub Date : 2024-10-16 DOI:10.1044/2024_AJA-24-00107
Adithya Sreedharan Sanitha, Sujeet Kumar Sinha
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Abstract

Purpose: The study's objective was to evaluate the functioning of sacculocollic and vestibulomasseteric reflex pathways in individuals with vestibular migraine and migraine.

Method: Seventy-five participants aged 18-50 years were selected for the study. Participants were divided into three groups. Group 1 consisted of 25 healthy individuals, Group 2 consisted of 25 migraine individuals, and Group 3 consisted of 25 individuals with vestibular migraine. Cervical vestibular-evoked myogenic potential (cVEMP) and masseter vestibular-evoked myogenic potential (mVEMP) were recorded using a 500-Hz tone burst stimulus presented at 125 dB peSPL for all participants.

Results: The cVEMP test results showed a delayed p13 and n23 latency for both migraine and vestibular migraine individuals when compared to healthy individuals. Also, the amplitude of the p13-n23 peak was reduced compared to healthy individuals in both migraine and vestibular migraine. Similarly, the mVEMP test results showed a delayed p11 and n21 latency for both migraine and vestibular migraine individuals. No difference was observed in the amplitude of the p11-n21 peak complex between the three groups. Spearman's rho correlation revealed no significant (p > .05) correlation between cervical and masseter VEMP latency and amplitude parameters between healthy, migraine, and vestibular migraine individuals.

Conclusions: The results of the study are suggestive of the pathology of the sacullocollic and vestibulomasseteric reflex pathways in individuals with migraine and vestibular migraine. Individuals with migraine and vestibular migraine should undergo a detailed vestibular evaluation.

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评估偏头痛和前庭性偏头痛患者的骶结膜和前庭肌肉反射通路。
目的:本研究旨在评估前庭性偏头痛和偏头痛患者的骶结膜反射通路和前庭肌肉反射通路的功能:研究选择了 75 名 18-50 岁的参与者。参与者分为三组。第一组由 25 名健康人组成,第二组由 25 名偏头痛患者组成,第三组由 25 名前庭性偏头痛患者组成。所有参与者均使用 125 dB peSPL 的 500 赫兹音爆刺激记录颈前庭诱发肌源性电位(cVEMP)和颌前庭诱发肌源性电位(mVEMP):结果:cVEMP测试结果显示,与健康人相比,偏头痛和前庭性偏头痛患者的p13和n23潜伏期均有所延迟。此外,偏头痛和前庭性偏头痛患者的p13-n23峰值振幅与健康人相比都有所降低。同样,mVEMP测试结果显示,偏头痛和前庭性偏头痛患者的p11和n21潜伏期都有所延迟。三组患者的 p11-n21 峰复合振幅没有差异。Spearman's rho 相关性表明,健康人、偏头痛患者和前庭性偏头痛患者的颈部和颌间肌 VEMP 潜伏期和振幅参数之间没有明显的相关性(p > .05):研究结果表明,偏头痛和前庭性偏头痛患者的骶尾结缔组织和前庭肌肉反射通路存在病变。偏头痛和前庭性偏头痛患者应接受详细的前庭评估。
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来源期刊
American Journal of Audiology
American Journal of Audiology AUDIOLOGY & SPEECH-LANGUAGE PATHOLOGY-OTORHINOLARYNGOLOGY
CiteScore
3.00
自引率
16.70%
发文量
163
审稿时长
>12 weeks
期刊介绍: Mission: AJA publishes peer-reviewed research and other scholarly articles pertaining to clinical audiology methods and issues, and serves as an outlet for discussion of related professional and educational issues and ideas. The journal is an international outlet for research on clinical research pertaining to screening, diagnosis, management and outcomes of hearing and balance disorders as well as the etiologies and characteristics of these disorders. The clinical orientation of the journal allows for the publication of reports on audiology as implemented nationally and internationally, including novel clinical procedures, approaches, and cases. AJA seeks to advance evidence-based practice by disseminating the results of new studies as well as providing a forum for critical reviews and meta-analyses of previously published work. Scope: The broad field of clinical audiology, including audiologic/aural rehabilitation; balance and balance disorders; cultural and linguistic diversity; detection, diagnosis, prevention, habilitation, rehabilitation, and monitoring of hearing loss; hearing aids, cochlear implants, and hearing-assistive technology; hearing disorders; lifespan perspectives on auditory function; speech perception; and tinnitus.
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